VA NORTHERN INDIANA HEALTH CARE SYSTEM (NPI# 1841524030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841524030 |
| Entity Type | Organization |
| Organization Name | VA NORTHERN INDIANA HEALTH CARE SYSTEM |
| Practice Address |
1700 E 38th St Marion IN 46953-4568 |
| Practice Telephone | 7656743321 |
| Practice Fax Number | 7656775151 |
| Mailing Telephone | 7656743321 |
| Mailing Fax Number | 7656775151 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |
| Authorized Official Name | MRS. PAULA SUE MAJOR (SUICIDE PREVENTION COORDINATOR) |
| Authorized Official Telephone | 7656743321 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
3400050A | IN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386028330 | Va Northern Indiana Health Care System | Clinic/Center | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2015-07-18 |
| Street Address |
1700 E 38TH ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690055 | Alexis Miguel Echevarria-vargas | Physical Medicine & Rehabilitation | 1700 E 38th St, Marion, IN 46953-4568 | 2005-06-22 |
| 1780299438 | Malinee Sue Swihart | Physical Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-10 |
| 1336753235 | Lana L Skelton | Counselor | 1700 E 38th St, Building 124, Room 222, Marion, IN 46953 | 2020-09-08 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1679183982 | Adam M Smith | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-08-03 |
| 1770192684 | Matthew T Bajor | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-27 |
| 1619594934 | Gary L Hite Jr. | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-02 |
| 1801412804 | Amanda Diane Wisener | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1710503719 | Ana Maria Vargas | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1669018594 | Marybeth Pecina | Dietitian, Registered | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649445750 | Va Medical Center | Military Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265608111 | Richard L. Roudebush Va Medical Center | Military Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-05-01 |
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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.