VA CENTER (NPI# 1790083475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790083475 |
| Entity Type | Organization |
| Organization Name | VA CENTER |
| Practice Address |
510 Butler Ave Martinsburg WV 25405-9990 |
| Mailing Address |
Po Box 501 Kearneysville WV 25430-0501 |
| Practice Telephone | 3042630811 |
| Mailing Telephone | 3048763529 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | MRS. KIMBERLY MCDIFFITT (MEDICAL STAFF DIRECTOR) |
| Authorized Official Telephone | 3042630811 |
| Authorized Official Credential | CPMSM,CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 59640 | WV | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VA CENTER LLC | 8115 Mechanicsville Pike, Mechanicsville, Virginia 23111 |
| Street Address |
510 BUTLER AVE |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25405-9990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022173 | Richard Charles Avioli | Orthopaedic Surgery | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-06-08 |
| 1659972701 | Julie C Riggleman | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-11-05 |
| 1003415258 | Melissa Bangle | Psychologist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-10-20 |
| 1134738016 | Jessica Christine Fernandez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-07-28 |
| 1164046124 | Brigit Kirwan | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-06-04 |
| 1467073437 | Jared O Ogenche | Respiratory Therapist, Registered | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-04-30 |
| 1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
| 1184256505 | Jeffrey Parish | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-02-05 |
| 1356981252 | Jenica Pearson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-01-09 |
| 1679119754 | Stacy Nicole Green | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982004834 | Stacy Becker | Pharmacist | 1297 Winchester Ave, Martinsburg, WV 25405 | 2014-08-28 |
| 1336577709 | Zellene Struble | Midwife | 405 Sweetbriar Rd, Martinsburg, WV 25405 | 2013-10-23 |
| 1710329131 | Aisha Masood | Pharmacist | 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 | 2013-07-26 |
| 1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
| 1962594846 | Barbara Ellen Hartman | Dietitian, Registered | 510 Butler Avenue, Martinsburg, WV 25405 | 2006-09-29 |
| 1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
| 1497399729 | Michelle Stickel | Speech-Language Pathologist | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 | 2019-10-30 |
| 1225688054 | Lynne Blackshear | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 | 2019-09-13 |
| 1285284018 | Christina Byrnes | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-09-13 |
| 1730737339 | Susan J Dilly | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-08-28 |
| Find all providers in zip 25405 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285960690 | Vertern's Affairs Medical Center | Military Hospital | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679745475 | Louis A Johnson Va Medical Center | Military Hospital | 1 Medical Center Dr., Clarksburg, WV 26301 | 2008-04-01 |
| City | MARTINSBURG |
| Zip Code | 25405 |
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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.