OKLAHOMA CITY VAMC (NPI# 1780635128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635128 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY VAMC |
| Other Organization Name | ARDMORE VA CLINIC |
| Practice Address |
1235 12th Ave Nw Ardmore OK 73401-1578 |
| Mailing Address |
Po Box 94537 Cleveland OH 44101-4537 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-07-09 |
| 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 |
|---|---|
| ARDMORE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1750583563 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 4303 Pittman & Thomas Road, Bldg 4303, Fort Sill, OK 73503-4473 | 2007-06-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1275573016 | Oklahoma City Vamc | Clinic/Center | 2600 Central Fwy Ste 180, Wichita Falls, TX 76306-2850 | 2006-06-08 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 1720615610 | Oklahoma City Vamc | Clinic/Center | 2640 Miner Road, Suite 2640, Fort Sill, OK 73503-8889 | 2020-03-23 |
| 1104308824 | Oklahoma City Vamc | Clinic/Center | 1301 Ne 14th St, Oklahoma City, OK 73117-2018 | 2018-08-29 |
| Street Address |
1235 12TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 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.