DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC


Address: 1015 S Hackett Rd, Waterloo, IA
Phone: 3192351230

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
261QV0200X IA Ambulatory Health Care Facilities

Office Location

Street Address 1015 S HACKETT RD
City WATERLOO
State IA

Providers in the same location

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
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134169592 Omaha Vamc Clinic/Center 945 Tower Park Dr, Waterloo, IA 50701-9098 2006-06-07

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City WATERLOO

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Dataset Information

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.

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