AMARILLO VAMC (NPI# 1790746188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790746188 |
| Entity Type | Organization |
| Organization Name | AMARILLO VAMC |
| Other Organization Name | LUBBOCK VA CBOC |
| Practice Address |
6104 Avenue Q South Dr Lubbock TX 79412-3700 |
| Mailing Address |
Po Box 94400 Cleveland OH 44101-4400 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-10-06 |
| 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 |
541255 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lubbock VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072424 | Amarillo Vamc | Clinic/Center | 325 Denver Ave, Dalhart, TX 79022-2711 | 2006-06-16 |
| 1629022520 | Amarillo Vamc | Clinic/Center | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2006-05-22 |
| 1821040957 | Amarillo Vamc | Clinic/Center | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-05-17 |
| 1225087794 | Amarillo Vamc | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-10 |
| 1750339636 | Amarillo Vamc | Department of Veterans Affairs (VA) Pharmacy | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2006-05-04 |
| 1235197658 | Amarillo Vamc | Department of Veterans Affairs (VA) Pharmacy | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-03 |
| Street Address |
6104 AVENUE Q SOUTH DR |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202999 | Timothy A Mazzolini | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2005-08-10 |
| 1316567670 | Wanda Jean Howard | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-04-16 |
| 1760014112 | Fabian Carmona | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2020-02-04 |
| 1346807708 | Andrea Rochelle Carrillo | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-05-21 |
| 1205394285 | Courtney E Walraven | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2019-03-07 |
| 1487120283 | Ericka Ann Comer | Pharmacist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-18 |
| 1003382078 | Malory Shanks | Nurse Practitioner | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-10-17 |
| 1891271524 | Beverly Lynn Jones | Registered Nurse | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2018-07-16 |
| 1699210237 | Frances Shaw | Physical Therapist | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-05 |
| 1437694130 | Brittney Marie Williamson | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871805788 | Texas Tech University | Clinic/Center | 5710 4th St, 3026, Lubbock, TX 79416-4214 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
| 1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
| 1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
| 1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
| 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.