LEXINGTON VAMC (NPI# 1689836637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689836637 |
| Entity Type | Organization |
| Organization Name | LEXINGTON VAMC |
| Other Organization Name | HAZARD VA CBOC |
| Practice Address |
210 Black Gold Blvd Hazard KY 41701-2603 |
| Mailing Address |
Po Box 94498 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hazard VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003855966 | Lexington Vamc | Clinic/Center | 300 Medpark Drive, Somerset, KY 42503-9998 | 2006-06-06 |
| 1528205648 | Lexington Vamc | Clinic/Center | 209 Pauline Dr, Berea, KY 40403-8889 | 2009-01-12 |
| 1215115696 | Lexington Vamc | Clinic/Center | 333 Beacon Hill Rd, Morehead, KY 40351-6178 | 2008-02-07 |
| 1871684639 | Lexington Vamc | General Acute Care Hospital | 2250 Leestown Rd, Lexington, KY 40511-1052 | 2006-09-27 |
| 1255380242 | Lexington Vamc | General Acute Care Hospital | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-05-08 |
| 1487612172 | Lexington Vamc | Department of Veterans Affairs (VA) Pharmacy | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-05-02 |
| Street Address |
210 BLACK GOLD BLVD |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484216 | Darian Ratliff | Internal Medicine | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2005-08-15 |
| 1326593575 | Kelli Jones | Pharmacist | 210 Black Gold Blvd, Suite 104, Hazard, KY 41701-2620 | 2016-08-17 |
| 1922478676 | Justin Barnes | Physical Therapist | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2015-10-06 |
| 1215306600 | Ashlei Beverly | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-09-16 |
| 1891178851 | Jacqueline Combs | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-07-08 |
| 1730578121 | Jacqueline Allen | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-01-22 |
| 1215331160 | Ashley A Taylor | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-10-21 |
| 1134520901 | Kristi Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-09-11 |
| 1942617667 | Sue Carol Riddle | Nurse Practitioner | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2014-07-15 |
| 1083038210 | Steven Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116399 | St. Louis Jc Vamc | Clinic/Center | 1253 Paris Rd, Suite A, Mayfield, KY 42066-4989 | 2009-02-19 |
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1578616892 | St. Louis Jc Vamc | Clinic/Center | 99 Stagecoach Rd, Madisonville, KY 42431-8009 | 2007-01-19 |
| 1952458960 | Cincinnati Vamc | Clinic/Center | 7310 Turfway Road, Suite 510, Florence, KY 41042-1385 | 2007-01-04 |
| 1003855966 | Lexington Vamc | Clinic/Center | 300 Medpark Drive, Somerset, KY 42503-9998 | 2006-06-06 |
| 1366480436 | Huntington Vamc | Clinic/Center | 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9169 | 2006-06-02 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1639120215 | Nashville Vamc | Clinic/Center | 600 Us 31 West Bypass, Suite 12, Bowling Green, KY 42101-4905 | 2006-05-16 |
| 1972739936 | Nashville Vamc | Clinic/Center | 1102 S Virginia St, Second Floor, Hopkinsville, KY 42240-3579 | 2009-06-04 |
| 1528205648 | Lexington Vamc | Clinic/Center | 209 Pauline Dr, Berea, KY 40403-8889 | 2009-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.