SPOKANE VAMC (NPI# 1871968040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871968040 |
Entity Type | Organization |
Organization Name | SPOKANE VAMC |
Other Organization Name | SPOKANE VA MOBILE CLINIC |
Practice Address |
4815 N Assembly St Spokane WA 99205-6185 |
Mailing Address |
Po Box 94421 Cleveland OH 44101-4421 |
Practice Telephone | 7023413164 |
Mailing Telephone | 7023413164 |
Enumeration Date | 2015-12-14 |
Last Update Date | 2017-11-15 |
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 |
---|---|
SPOKANE VA MOBILE CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609044478 | Spokane Vamc | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2008-02-14 |
1124078969 | Spokane Vamc | General Acute Care Hospital | N. 4815 Assembly, Spokane, WA 99205-6185 | 2006-05-11 |
1437540507 | Spokane Vamc | Clinic/Center | 211 E 2nd St, Libby, MT 59923-2047 | 2015-02-11 |
1821489907 | Spokane Vamc | Clinic/Center | 705 W 2nd Ave, Spokane, WA 99201-4412 | 2015-02-11 |
1316338486 | Spokane Vamc | Clinic/Center | 30410 Highway 200, Ponderay, ID 83852-9601 | 2015-02-11 |
1285025361 | Spokane Vamc | Clinic/Center | 203 S Western Ave, Tonasket, WA 98855-8803 | 2015-02-11 |
1740477009 | Spokane Vamc | Clinic/Center | 2530 Chester Kimm Rd, Wenatchee, WA 98801-8130 | 2007-10-01 |
1962450122 | Spokane Vamc | Department of Veterans Affairs (VA) Pharmacy | 4815 N Assembly St, Spokane, WA 99205 | 2006-05-04 |
Street Address |
4815 N ASSEMBLY ST |
City | SPOKANE |
State | WA |
Zip Code | 99205-6185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083611396 | Jeffrey John Emery | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2005-06-30 |
1831798495 | Keri Ann Abbey | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-23 |
1104425479 | Virginia O Bice | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-19 |
1457965006 | Jennie Anne Chang | Pharmacist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-09-01 |
1346850443 | Anthony Beck | Registered Nurse | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-08-04 |
1740899632 | Danne Jo Hudson | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-07-27 |
1639790132 | Hannah Song | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-05-06 |
1093349482 | Julianne Baldwin | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-25 |
1134753643 | Susan Wardrop Ells | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
1265066708 | Lori A Ruckhaber | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
Find all providers in zip 99205 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821489907 | Spokane Vamc | Clinic/Center | 705 W 2nd Ave, Spokane, WA 99201-4412 | 2015-02-11 |
1508278086 | Mann Grandstaff Va Medical Center | Clinic/Center | 4815 N Assembly St, Spokane, WA 99205-6185 | 2014-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336567593 | Safe Bathtub Inc | Clinic/Center | 3047 Hedding St, Entiat, WA 98822-9713 | 2014-04-03 |
1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
1538317797 | Puget Sound Health Care System | Clinic/Center | 3205 N Shirley St, Tacoma, WA 98407-2586 | 2008-08-29 |
1992745723 | Walla Walla Vamc | Clinic/Center | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-06-08 |
1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
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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.