ECHCS VA MEDICAL CENTER (NPI# 1831623842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831623842 |
| Entity Type | Organization |
| Organization Name | ECHCS VA MEDICAL CENTER |
| Other Organization Name | ECHCS VA MEDICAL CENTER, AMBULATORY CARE |
| Practice Address |
1055 Clermont St Ambulatory Care (11b) Denver CO 80220-3808 |
| Practice Telephone | 3033998020 |
| Practice Fax Number | 3033935123 |
| Mailing Telephone | 3033998020 |
| Mailing Fax Number | 3033935123 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | SHABNAM SHOWELL (ACOS, AMBULATORY CARE SERVICE) |
| Authorized Official Telephone | 3033998020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| ECHCS VA MEDICAL CENTER, AMBULATORY CARE | Other Name - Individual/Organization |
| Street Address |
1055 CLERMONT ST AMBULATORY CARE (11B) |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487003570 | Ashley Murphy | Military Hospital | 930 S Milwaukee Way, Denver, CO 80209-5125 | 2016-06-08 |
| 1770930547 | Va Eastern Colorado Health Care System | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2016-05-20 |
| 1912389990 | Veterans Administration | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2015-06-25 |
| 1881941219 | Dept. of Veterans Affairs | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2012-08-03 |
| 1083845473 | Denver Veterans Administration | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2009-08-03 |
| 1700925120 | Eastern Colorado Health Care System | Military Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801214242 | Racinda Forbes | Military Hospital | 2451 Kipling St Apt 212, Lakewood, CO 80215-1480 | 2014-04-02 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1003192428 | Us Army | Military Hospital | 6582 Magarath Street, Fort Carson, CO 80913 | 2011-10-31 |
| 1730332404 | Jonathan Frank Vargas | Military Hospital | 1216 102nd Avenue, Greeley, CO 80634 | 2008-10-28 |
| 1902872278 | Evans Army Community Hospital | Military Hospital | 1115 Encinitas Pt, Colorado Springs, CO 80906-9106 | 2006-02-27 |
| 1871985887 | Us Army | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-02-27 |
| 1043594229 | Evans Army Community Hospital | Military Hospital | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2011-10-05 |
| 1639402274 | Evans Army Community Hospital | Military Hospital | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2009-09-15 |
| 1992772370 | Department of Defense | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4603 | 2006-03-03 |
| 1780657239 | 10th Medical Group | Military Hospital | 4102 Pinion Dr, 10 Mdss Sgsb, Usaf Academy, CO 80840-2502 | 2006-02-07 |
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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.