DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC (NPI# 1851425276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851425276 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC |
Practice Address |
1015 S Hackett Rd Waterloo IA |
Mailing Address |
228 Oakwood Dr Evansdale IA 50707-1850 |
Practice Telephone | 3192351230 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JULIE TULLIS (L.P.N.) |
Authorized Official Telephone | 3192343187 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
261QV0200X | IA | Ambulatory Health Care Facilities |
Street Address |
1015 S HACKETT RD |
City | WATERLOO |
State | IA |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598763286 | Brett R Richman | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2005-07-07 |
1457801326 | Kelli Deserano | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2016-10-04 |
1861745507 | Arun Kumar Muthusamy | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-10-18 |
1588919351 | Tracy R Elliott | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-07-18 |
1053608687 | Suhag Maheshbhai Patel | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2011-07-04 |
1699929182 | Jennifer Smentek Jampoler | Social Worker | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-11-10 |
1619140910 | Srinivas Kalala | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-04-08 |
1750570172 | Mohamad Hamdi | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2007-10-22 |
1851515688 | Santhi Keeran | Family Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2007-04-12 |
1134284565 | Amicare Pharmacy Inc | Pharmacy | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2006-12-26 |
Find all providers in the same location |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
1881874337 | Sioux Falls Vamc | Clinic/Center | 1850 Royal Avenue, Dickinson County Courtyard, Spirit Lake, IA 51360-9998 | 2007-11-13 |
1346293818 | Omaha Vamc | Clinic/Center | 2600 Dodge St Ste A1, Dubuque, IA 52003-7159 | 2006-05-18 |
1861443590 | Omaha Vamc | Clinic/Center | 2826 W Locust St, Davenport, IA 52804-3354 | 2006-05-15 |
1346710696 | Omaha Vamc | Clinic/Center | 400 S Clinton St, Iowa City, IA 52240-4105 | 2018-11-29 |
Find all providers with the same taxonomy |
City | WATERLOO |
Please comment or provide details below to improve the information on DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC.
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.