HONOLULU VAMC (NPI# 1962683474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962683474 |
| Entity Type | Organization |
| Organization Name | HONOLULU VAMC |
| Other Organization Name | PAGO PAGO VA CLINIC |
| Practice Address |
Fiatele Teo Army Reserve Building Pago Pago AS 96799-9992 |
| Mailing Address |
Po Box 94406 Cleveland OH 44101-4406 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-12-10 |
| 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 |
|---|---|
| Pago Pago VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
| 1568879526 | Honolulu Vamc | Clinic/Center | Marina Heights Business Park - Garapan, Mh-ii Building Suite 100 and 206, Saipan, MP 96950 | 2014-07-22 |
| 1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
| 1700826401 | Honolulu Vamc | Clinic/Center | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2006-06-08 |
| 1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
| 1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
| 1396791356 | Honolulu Vamc | Clinic/Center | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-05-25 |
| 1831148386 | Honolulu Vamc | General Acute Care Hospital | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-10 |
| Street Address |
FIATELE TEO ARMY RESERVE BUILDING |
| City | PAGO PAGO |
| State | AS |
| Zip Code | 96799-9992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372557 | Josephine S Bernhardt | Registered Nurse | 5799 Tafuna Village, Pago Pago, AS 96799 | 2020-10-05 |
| 1902450844 | Mirella Mendoza Chipongian | Obstetrics & Gynecology | 3965 Tafuna, Pago Pago, AS- AMERICAN SAMOA 96799 | 2019-07-29 |
| 1366915100 | Angels Crossing Hospice and Home Health | Surgery | 998074. Tafuna Vi., Pago Pago, AS 96799 | 2019-01-04 |
| 1780199190 | Star Supply | Durable Medical Equipment & Medical Supplies | 3505 Tafuna Rd, Pago Pago, AS 96799 | 2017-12-07 |
| 1659807238 | Joseph Lescano - Medquest Medical Supply | Prosthetic/Orthotic Supplier | 4445 Matu'u Road, Pago Pago, AS 96799 | 2017-05-03 |
| 1992252548 | Tele Hill | Nurse Practitioner | 1 Petesa Rd, Pago Pago, AS 96799 | 2016-09-01 |
| 1841651783 | Emily Lin | Pharmacist | 1234 Turner Rd, Pago Pago, AS 96799 | 2016-03-18 |
| 1144681792 | Saipale Fuimaono | Preventive Medicine | 3965 Tafuna St, Tafuna Health Center, Pago Pago, AS 96799 | 2016-03-10 |
| 1821455981 | Jenco Medical Incorporated Dba Samoa Prosthetics Orthotics Company | Durable Medical Equipment & Medical Supplies | 5958 Litani Sq, Nuu'uli Village, Pago Pago, AS 96799 | 2016-01-20 |
| 1053787143 | Kima Faasalele | Midwife | Procurement Road, Tafuna Family Health Center, Tafuna, AS 96799 | 2015-08-12 |
| Find all providers in zip 96799 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
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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.