LOUISVILLE VAMC (NPI# 1699728824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699728824 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE VAMC |
| Other Organization Name | FORT KNOX VA CBOC |
| Practice Address |
289 Ireland Ave Fort Knox KY 40121-5111 |
| Mailing Address |
Po Box 94508 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-09-07 |
| 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 |
|---|---|
| Fort Knox VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1144267071 | Louisville Vamc | Clinic/Center | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-31 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1649630955 | Louisville Vamc | Psychiatric Residential Treatment Facility | 800 Zorn Ave, Louisville, KY 40206-1433 | 2016-02-29 |
| 1770732752 | Louisville Vamc | Clinic/Center | 1467 Scott Valley Dr, Scottsburg, IN 47170-7795 | 2008-09-15 |
| 1063668291 | Louisville Vamc | Clinic/Center | 619 W Main St, Clarkson, KY 42726-7044 | 2008-08-07 |
| 1750320735 | Louisville Vamc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2006-06-06 |
| 1851347124 | Louisville Vamc | Clinic/Center | 3934 Dixie Hwy, Suite 210, Louisville, KY 40216-4163 | 2006-05-26 |
| 1144279597 | Louisville Vamc | General Acute Care Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-10 |
| 1538127295 | Louisville Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISVILLE VAMC | 800 Zorn Ave, Louisville, KY 40206-1433 |
| Street Address |
289 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263775 | Linda Jean Anderson | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2005-05-23 |
| 1770067183 | Marsha Ann Paul | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2018-09-20 |
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1639628688 | Lisa L Campbell | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-09-30 |
| 1134675689 | Wendy Lee | Dental Hygienist | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-08-25 |
| 1730531104 | Derek A Albright | Dental Assistant | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-07-08 |
| 1104287234 | Laurel Alexander Darhali | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-03-17 |
| 1164889176 | Andres Perez | Emergency Medicine | 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121-5111 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| 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.