MINNEAPOLIS VAMC (NPI# 1932529351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932529351 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS VAMC |
| Other Organization Name | SHAKOPEE VA CBOC |
| Practice Address |
1111 Shakopee Town Sq Shakopee MN 55379-1908 |
| Mailing Address |
Po Box 94459 Cleveland OH 44101-4459 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2017-12-14 |
| 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 |
|---|---|
| SHAKOPEE VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
| Street Address |
1111 SHAKOPEE TOWN SQ |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326424052 | Sheila Neurauter | Social Worker | 1111 Shakopee Town Sq, Shakopee Va Clinic, Shakopee, MN 55379-1908 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1407809478 | Fargo Vamc | Clinic/Center | 1821 N Park St, Fergus Falls Va Outpatient Clinic, Fergus Falls, MN 56537-1247 | 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.