VETERANS AFFAIRS (NPI# 1790887198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790887198 |
| Entity Type | Organization |
| Organization Name | VETERANS AFFAIRS |
| Practice Address |
2401 W Main Street Va Medical Center Marion IL 62959 |
| Mailing Address |
11531 Sunderland Rd Marion IL 62959-8274 |
| Practice Telephone | 6189934117 |
| Mailing Telephone | 6189934117 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA S MCCUTCHEN (DIRECTOR OF BMCL) |
| Authorized Official Telephone | 6189934117 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers | |
| X | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980033 | Veterans Affairs | General Acute Care Hospital | 1426 Ida St Apt J, Durham, NC 27705-3330 | 2009-11-02 |
| 1770644072 | Veterans Affairs | Special Hospital | 2941 Mattern Ave, Pittsburgh, PA 15216 | 2006-12-12 |
| 1760587562 | Veterans Affairs | Nursing Facility/Intermediate Care Facility | 111201 Benton Street, Loma Linda, CA 92354 | 2006-09-14 |
| 1134238108 | Veterans Affairs | Nurse's Aide | 8601 Broadway St, Apt.#3205, Houston, TX 77061-2266 | 2006-08-30 |
| 1942753231 | Veterans Affairs | Rehabilitation Unit | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2016-08-03 |
| 1417400946 | Veterans Affairs | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2016-08-02 |
| 1912350737 | Veterans Affairs | Clinic/Center | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-07-16 |
| 1831545680 | Veterans Affairs | General Acute Care Hospital | 619 S Marion Ave, Lake City, FL 32025-5808 | 2016-05-11 |
| 1023493897 | Veterans Affairs | General Acute Care Hospital | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2015-07-22 |
| 1558706226 | Veterans Affairs | Psychiatric Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2013-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS AFFAIRS BOARD, MISSISSIPPI STATE | 3466 Hwy 80 E, Jackson, MS 39201-4001 |
| Oregon Corporations, Companies and Business Names | VETERANS AFFAIRS EMPLOYEES & ASSOCIATES | 100 Sw Main St Fl 2, Salem, OR 97304 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS MEDICAL CENTER | 100 Emancipation Dr, Hampton, VA 23667-0001 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, ALABAMA DEPT OF | 100 N Union St Ste 850, Montgomery, AL 36104-3719 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, CALIFORNIA DEPARTMENT OF | 1227 O St Ste 105, Sacramento, CA 95814-5840 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, IOWA DEPARTMENT OF | 7105 Nw 70th Ave, Johnston, IA 50131-1824 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, LOUISIANA DEPARTMENT OF | 602 N Fifth St, Baton Rouge, LA 70802-5312 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, MINNESOTA DEPARTMENT OF | 20 W 12th St 2nd Flr, Saint Paul, MN 55155-2002 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, NORTH CAROLINA DIVISION OF | 413n Salisbury St, Raleigh, NC 27603-1361 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, WASHINGTON STATE DEPARTMENT OF | 1102 Quince Se, Olympia, WA 98501-2462 |
| Street Address |
2401 W MAIN STREET VA MEDICAL CENTER |
| City | MARION |
| State | IL |
| Zip Code | 62959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972767416 | Cynthia Lynn Watts | Counselor | 2401 W Main Street, Marion Veterans Medical Center, Marion, IL 62959-1194 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1487163572 | Ivery Davis | Counselor | Pee Dee Mental Health, Marion Clinic, 1100 S. Main St., Marion, SC 29571-2957 | 2017-09-21 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| Find all providers in MARION | ||||
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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.