AMARILLO VAMC (NPI# 1821040957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821040957 |
| Entity Type | Organization |
| Organization Name | AMARILLO VAMC |
| Other Organization Name | CLOVIS VA CBOC |
| Practice Address |
921 E Llano Estacado Blvd Clovis NM 88101-3807 |
| Mailing Address |
Po Box 94400 Cleveland OH 44101-4400 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-17 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clovis 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 |
| 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 |
| 1790746188 | Amarillo Vamc | Clinic/Center | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2006-03-28 |
| Street Address |
921 E LLANO ESTACADO BLVD |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295112 | Clovis Va Outpatient Care Clinic | Clinic/Center | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-04-20 |
| 1518984475 | Clare Arth | Psychiatry & Neurology | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-07-16 |
| 1730131616 | Nancy B. Chasteen | Emergency Medicine | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665628 | Nm Va Health Care System | Clinic/Center | 3121 La Junta Rd Sw, Albuquerque, NM 87105-5643 | 2012-11-21 |
| 1053353102 | Albuquerque Vamc | Clinic/Center | 624 University Ave, Las Vegas, NM 87701-4278 | 2006-06-12 |
| 1699713156 | Albuquerque Vamc | Clinic/Center | 2950 Leslie Road, Silver City, NM 88061-7212 | 2006-06-04 |
| 1295773331 | Albuquerque Vamc | Clinic/Center | 5152 Beckner Road, Santa Fe, NM 87505-9998 | 2006-06-02 |
| 1407894546 | Albuquerque Vamc | Clinic/Center | 1493 Whittier Street, Raton, NM 87740-9998 | 2006-06-02 |
| 1477509172 | Albuquerque | Clinic/Center | 2075 Nm Hwy 602, Gallup, NM 87301-9998 | 2006-05-25 |
| 1972559730 | El Paso Vamc | Clinic/Center | 3401 Del Ray Blvd., Las Cruces, NM 88012-8041 | 2006-05-25 |
| 1437104882 | Big Spring Vamc | Clinic/Center | 1601 N Turner St, Broadmoor Tower, Hobbs, NM 88240-4331 | 2006-05-24 |
| 1770536641 | Albuquerque Vamc | Clinic/Center | 3605 English Road, Farmington, NM 87402-8303 | 2006-05-19 |
| 1972556322 | Albuquerque Vamc | Clinic/Center | 105 S Coronado Ave, Espanola, NM 87532-2862 | 2006-05-18 |
| 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.