PRESCOTT VAMC (NPI# 1952345076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952345076 |
| Entity Type | Organization |
| Organization Name | PRESCOTT VAMC |
| Other Organization Name | FLAGSTAFF VA CBOC |
| Practice Address |
1300 W University Ave #200 Flagstaff AZ 86001-7214 |
| Mailing Address |
Po Box 94411 Cleveland OH 44101-4411 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | MS. 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 |
|---|---|
| Flagstaff VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1356739650 | Prescott Vamc | Clinic/Center | 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 | 2015-01-08 |
| 1770539561 | Prescott Vamc | Clinic/Center | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2006-05-25 |
| 1477505493 | Prescott Vamc | Clinic/Center | 501 S Willard St, Cottonwood, AZ 86326-8120 | 2006-05-17 |
| 1477504975 | Prescott Vamc | Clinic/Center | 41810 N Venture Dr Bldg B, Anthem, AZ 85086-3169 | 2006-05-12 |
| 1275583684 | Prescott Vamc | General Acute Care Hospital | 500 N Highway 89, Prescott, AZ 86313-5001 | 2006-05-10 |
| 1801854328 | Prescott Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 N Hwy 89, Prescott, AZ 86313-5001 | 2006-05-03 |
| 1669857975 | Prescott Vamc | Clinic/Center | Highway 264, Mile Post 388, Polacca, AZ 86042-9998 | 2015-07-28 |
| 1184009490 | Prescott Vamc | Clinic/Center | Us Highway 160, Kayenta, AZ 86033-9998 | 2015-07-28 |
| 1891183182 | Prescott Vamc | Clinic/Center | Highway 191 and Hospital Drive, Chinle, AZ 86503-9998 | 2015-01-08 |
| Street Address |
1300 W UNIVERSITY AVE #200 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-7214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720591597 | Abigail Athalia Joseph | Social Worker | 1300 W University Ave, Flagstaff, AZ 86001-7214 | 2017-11-14 |
| 1912445230 | Grace Afrakomah Gyimah | Social Worker | 1300 W University Ave, Flagstaff, AZ 86001-7214 | 2017-02-07 |
| 1942642756 | Jessica Lynn Taylor | Social Worker | 1300 W University Ave, Suite 200, Flagstaff, AZ 86001-7214 | 2013-07-22 |
| 1205021599 | Elizabeth Jane Quill | Counselor | 1300 W University Ave, Flagstaff, AZ 86001-7214 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457704 | Tucson Vamc | Clinic/Center | 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 | 2017-03-01 |
| 1104366897 | Tucson Vamc | Clinic/Center | 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 | 2017-03-01 |
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1356739650 | Prescott Vamc | Clinic/Center | 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 | 2015-01-08 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1811176530 | Cthvamc | Clinic/Center | 239 W Utopia Rd, Phoenix, AZ 85027-4738 | 2007-10-30 |
| 1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
| 1649219528 | Tucson Vamc | Clinic/Center | 3111 S 4th Ave, Yuma, AZ 85364-8122 | 2006-06-06 |
| 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.