TOMAH VAMC (NPI# 1770978637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770978637 |
| Entity Type | Organization |
| Organization Name | TOMAH VAMC |
| Other Organization Name | TOMAH VA MOBILE CLINIC |
| Practice Address |
500 E Veterans St Tomah WI 54660-3105 |
| Mailing Address |
Po Box 5271 Madison WI 53705-0271 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| 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 |
|---|---|
| TOMAH VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
| 1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
| 1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
| 1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
| 1356391775 | Tomah Vamc | General Acute Care Hospital | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-10 |
| 1598713778 | Tomah Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-04 |
| Street Address |
500 E VETERANS ST |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788826 | Patrick John Hardiman | Podiatrist | 500 E Veterans St, Tomah, WI 54660-3105 | 2005-05-23 |
| 1205436532 | April Ann Lassa | Family Medicine | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-27 |
| 1215534607 | Kari Leigh Ebert | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-08 |
| 1801493325 | Haley Evelyn Sidie | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-07 |
| 1437766383 | Susan Mercy Humphrey | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-09-24 |
| 1740899608 | Gabrielle Lujan | Nurse Practitioner | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-07-27 |
| 1174149827 | Hannah Von Behren | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-06-18 |
| 1154943959 | Gina Rae Chmelka | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| 1417579210 | Ashley Ann Greeno | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| 1053933853 | Allissa Marie Burns-gilbert | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013946482 | Department of Veterans Affairs | Clinic/Center | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1376988402 | Zablocki Va Medical Center | Clinic/Center | 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 | 2013-05-02 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
| 1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
| 1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
| 1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
| 1144276064 | James A Lovell Federal Health Care Center | Clinic/Center | 8207 22nd Ave, Kenosha, WI 53143-6211 | 2006-05-25 |
| 1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| 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.