CLARKSBURG VAMC (NPI# 1790739118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790739118 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG VAMC |
| Other Organization Name | GASSAWAY VA CLINIC |
| Practice Address |
40 Reston Pl Gassaway WV 26624-7899 |
| Mailing Address |
Po Box 94436 Cleveland OH 44101-4436 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-04-17 |
| 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 |
|---|---|
| Gassaway VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| 1972753655 | Clarksburg Vamc | Clinic/Center | 40 Commerce Dr, Suite 101, Westover, WV 26501-3874 | 2008-09-30 |
| 1508804964 | Clarksburg Vamc | Clinic/Center | 2311 Ohio Ave, Suite A, Parkersburg, WV 26101-2559 | 2006-06-04 |
| 1295784056 | Clarksburg Vamc | General Acute Care Hospital | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-09 |
| 1356399364 | Clarksburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLARKSBURG VAMC | 1 Med Center Dr, Clarksburg, WV 26301-4155 |
| Street Address |
40 RESTON PL |
| City | GASSAWAY |
| State | WV |
| Zip Code | 26624-7899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518393776 | Joshua Conan Culver | Dentist | 715 Elk Street, Gassaway, WV 26624 | 2013-09-19 |
| 1174637805 | Kevin C Boring | Specialist | 155 Reston Place, Gassaway, WV 26624 | 2006-08-19 |
| 1699912212 | Julie Ann Calef | Speech-Language Pathologist | 100 Hoylman Dr, Gassaway, WV 26624 | 2009-01-20 |
| 1336317916 | Elizabeth Suzanne Gibson | Specialist | 100 Hoylman Drive, Gassaway Glenville Physical Therapy Specialists, Inc., Gassaway, WV 26624 | 2008-02-15 |
| 1932383049 | Tim A Robbins | Pharmacist | 105 Duncan Road, Marlinton, WV 26624 | 2007-12-26 |
| 1447350228 | Gassaway Glenville Physical Therapy Specialits, Inc | Specialist | 155 Reston Place, Gassaway, WV 26624 | 2006-09-22 |
| 1194776823 | Braxton Va Clinic | Clinic/Center | 707 Elk St, Gassaway, WV 26624-1113 | 2006-05-15 |
| 1912961202 | Chad J Lancaster | Dentist | 715 Elk St, Gassaway, WV 26624-1113 | 2006-04-13 |
| 1881171726 | Chad J Lancaster, Dds, Pllc | Clinic/Center | 715 Elk St, Gassaway, WV 26624-1113 | 2018-07-24 |
| 1891271474 | Colter Seth Taylor | Dentist | 715 Elk St, Gassaway, WV 26624-1113 | 2018-07-17 |
| Find all providers in zip 26624 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194776823 | Braxton Va Clinic | Clinic/Center | 707 Elk St, Gassaway, WV 26624-1113 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063885754 | Beckley Vamc | Clinic/Center | 1780 Stadium Dr, Bluefield, WV 24701-3322 | 2015-11-04 |
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861809816 | Huntington Vamc | Clinic/Center | 15 Lenore Business Mall, 2867 Route 65, Williamson, WV 25661-9199 | 2014-07-22 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1912941501 | Martinsburg Vamc | Clinic/Center | 15 Grant St, Petersburg, WV 26847-1613 | 2006-06-15 |
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1194771071 | Martinsburg Vamc | Clinic/Center | 91 Pine Street, Franklin, WV 26807-9998 | 2006-05-25 |
| 1144271883 | Huntington Vamc | Clinic/Center | 700 Technology Dr, South Charleston, WV 25309-8571 | 2006-05-15 |
| 1619475027 | Huntington Vamc | Clinic/Center | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2018-01-31 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| 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.