PROVIDENCE VAMC (NPI# 1710461215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710461215 |
Entity Type | Organization |
Organization Name | PROVIDENCE VAMC |
Practice Address |
75 Eagle St Providence RI 02909-1081 |
Mailing Address |
Po Box 3016 Lebanon PA 17042-3016 |
Practice Telephone | 7172776565 |
Mailing Telephone | 7172776565 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Authorized Official Name | ERIN DENISE 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 |
---|---|
PROVIDENCE VA CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
1679971311 | Providence Vamc | Clinic/Center | 623 Atwells Ave, Providence, RI 02909-7403 | 2014-12-11 |
1225076664 | Providence Vamc | Clinic/Center | 175 Elm St, New Bedford, MA 02740-6006 | 2006-06-04 |
1831136050 | Providence Vamc | Clinic/Center | 1 Corporate Pl, Middletown, RI 02842-6277 | 2006-05-31 |
1306896733 | Providence Vamc | General Acute Care Hospital | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-05-10 |
1619935145 | Providence Vamc | Department of Veterans Affairs (VA) Pharmacy | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-05-03 |
Street Address |
75 EAGLE ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02909-1081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821627647 | Christine Marie Jannell | Occupational Therapy Assistant | 75 Eagle St, Providence, RI 02909-1081 | 2020-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
Find all providers in zip 02909 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679971311 | Providence Vamc | Clinic/Center | 623 Atwells Ave, Providence, RI 02909-7403 | 2014-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831136050 | Providence Vamc | Clinic/Center | 1 Corporate Pl, Middletown, RI 02842-6277 | 2006-05-31 |
City | PROVIDENCE |
Zip Code | 02909 |
Please comment or provide details below to improve the information on PROVIDENCE 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.