COLUMBIA VAMC (NPI# 1861643181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861643181 |
| Entity Type | Organization |
| Organization Name | COLUMBIA VAMC |
| Other Organization Name | SPARTANBURG VA CLINIC |
| Practice Address |
279 N Grove Medical Park Dr Spartanburg SC 29303-4222 |
| Mailing Address |
Po Box 89478 Cleveland OH 44101-6478 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2018-04-17 |
| 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 |
|---|---|
| SPARTANBURG VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| 1649218579 | Columbia Vamc | Clinic/Center | 2670 Mills Park Dr, Rock Hill, SC 29732-8599 | 2006-06-03 |
| 1912945593 | Columbia Vamc | Clinic/Center | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-06-03 |
| 1578514030 | Columbia Vamc | General Acute Care Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-12 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| Street Address |
279 N GROVE MEDICAL PARK DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336152586 | Nannette Marie Petersen | Family Medicine | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-08-15 |
| 1528437837 | Joneisha Parson | Social Worker | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2015-09-16 |
| 1598103343 | Shannon Schreiner | Dietitian, Registered | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2013-06-13 |
| 1578841631 | Charles David Edwards | Nurse Practitioner | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2011-07-23 |
| 1134431349 | Jabran Akhtar Hussain | Family Medicine | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2010-07-06 |
| 1760689079 | Olga Marina Colon | Specialist | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on COLUMBIA VAMC.
| 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.