DEPARTMENT OF VETERANS AFFAIRS (NPI# 1740623768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740623768 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Practice Address |
1500 E Woodrow Wilson Ave Jackson MS 39216-5116 |
| Mailing Address |
5044 Harling Pl Jackson MS 39211-4731 |
| Practice Telephone | 6013624471 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | JOHNNIE SMITH (RESPIRATORY TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 6013624471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
1500 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851730121 | Sonny Montgomer Vamc | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-20 |
| 1952744336 | V.a. Medical Center | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-16 |
| 1447465067 | Univ Prev Med Assocs Pllc | Special Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-14 |
| 1023104106 | Harvey William Marcellus | Special Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902060825 | Veterans Healthcare Administration | Special Hospital | 400 Veterans Ave, 11ecp Hbpc, Biloxi, MS 39531-2410 | 2008-07-10 |
| 1366533093 | Tri Lakes Medical Center | Special Hospital | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2006-09-27 |
| 1255364477 | Gulf Coast Vamc | Special Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-09 |
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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.