TUSCALOOSA VAMC (NPI# 1871900829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871900829 |
| Entity Type | Organization |
| Organization Name | TUSCALOOSA VAMC |
| Other Organization Name | SELMA VA CLINIC |
| Practice Address |
206 Vaughan Memorial Dr Selma AL 36701-6949 |
| Mailing Address |
Po Box 89474 Cleveland OH 44101-6474 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-04-13 |
| 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 |
|---|---|
| SELMA VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801846126 | Tuscaloosa Vamc | General Acute Care Hospital | 3701 Loop Road East, Tuscaloosa, AL 35404-5015 | 2006-05-10 |
| 1023478336 | Tuscaloosa Vamc | Psychiatric Residential Treatment Facility | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2016-02-29 |
| 1285019810 | Tuscaloosa Vamc | Clinic/Center | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2015-07-24 |
| 1295783470 | Tuscaloosa Vamc | Department of Veterans Affairs (VA) Pharmacy | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-05-04 |
| Street Address |
206 VAUGHAN MEMORIAL DR |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457672123 | Sankung Jobarteh | Pharmacist | 206 Vaughan Memorial Dr, Selma, AL 36701-6949 | 2010-06-17 |
| 1487113155 | Charles Herrington | Kinesiotherapist | 206 Vaughan Memorial Dr, Selma, AL 36701-6949 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319052 | Birmingham Vamc | Clinic/Center | 2415 7th Avenue South, Birmingham, AL 35233-3317 | 2016-07-08 |
| 1083961007 | Cindy Arlene Jones | Clinic/Center | 155 Scenic Rd, Jacksonville, AL 36265-8251 | 2012-08-09 |
| 1992024947 | Birmingham Vamc | Clinic/Center | 100 Judy Smith Dr, Guntersville, AL 35976-4500 | 2010-05-28 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| 1689618373 | Birmingham Vamc | Clinic/Center | 422 Cox Blvd, Dd, Sheffield, AL 35660-4000 | 2006-06-15 |
| 1003857764 | Biloxi Vamc | Clinic/Center | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2006-06-10 |
| 1043250632 | Birmingham Vamc | Clinic/Center | 500 Markaview Road Northwest, Huntsville, AL 35805-3652 | 2006-06-08 |
| 1063450195 | Birmingham Vamc | Clinic/Center | 206 Rescia Ave, Gadsden, AL 35906-5933 | 2006-06-02 |
| 1891741294 | Birmingham Vamc | Clinic/Center | 1454 Jones Dairy Rd, Jasper, AL 35501-6164 | 2006-05-26 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| Find all providers with the same taxonomy | ||||
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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.