HONOLULU VAMC (NPI# 1700826401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700826401 |
| Entity Type | Organization |
| Organization Name | HONOLULU VAMC |
| Other Organization Name | GUAM VA CBOC |
| Practice Address |
498 Chalan Palosyo Agana Heights GU 96910-6427 |
| Mailing Address |
Po Box 94406 Cleveland OH 44101-4406 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-12-10 |
| 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 |
|---|---|
| Guam VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
| 1568879526 | Honolulu Vamc | Clinic/Center | Marina Heights Business Park - Garapan, Mh-ii Building Suite 100 and 206, Saipan, MP 96950 | 2014-07-22 |
| 1962683474 | Honolulu Vamc | Clinic/Center | Fiatele Teo Army Reserve Building, Pago Pago, AS 96799-9992 | 2007-11-27 |
| 1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
| 1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
| 1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
| 1396791356 | Honolulu Vamc | Clinic/Center | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-05-25 |
| 1831148386 | Honolulu Vamc | General Acute Care Hospital | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-10 |
| Street Address |
498 CHALAN PALOSYO |
| City | AGANA HEIGHTS |
| State | GU |
| Zip Code | 96910-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853926 | Janay Elizabeth Green | Social Worker | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2020-08-25 |
| 1922623636 | Valerie Jean Cruz Mansapit | Counselor | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2020-06-09 |
| 1982246922 | Jessika Garcia Dayrit | Behavioral Analyst | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2019-10-10 |
| 1790121176 | Stephanie Catherine Vidaurri | Social Worker | 498 Chalan Palosyo, Guam Va Cboc, Agana Heights, GU 96910-6427 | 2013-05-13 |
| 1689010084 | Mario Fernando Pereyra | Occupational Therapist | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2013-05-13 |
| 1114225299 | Kenna K Trenkamp | Social Worker | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| City | AGANA HEIGHTS |
| Zip Code | 96910 |
Please comment or provide details below to improve the information on HONOLULU VAMC.
| 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.