MALCOLM RANDALL VAMC


Address: 5415 Sw 64th Street, Gainesville, FL 32608-2116
Phone: 3523384900

MALCOLM RANDALL VAMC (NPI# 1972767333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972767333
Entity Type Organization
Organization Name MALCOLM RANDALL VAMC
Practice Address 5415 Sw 64th Street
Gainesville
FL 32608-2116
Mailing Address 2601 Sw 69th Ter
Gainesville
FL 32608-2116
Practice Telephone 3523384900
Mailing Telephone 3523326494
Enumeration Date 2008-07-15
Last Update Date 2008-07-15
Authorized Official Name MRS. KAREN LEE MORRIS (COMP AND PEN EXAMINER)
Authorized Official Telephone 3523384900
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 1187232 FL Ambulatory Health Care Facilities

Office Location

Street Address 5415 SW 64TH STREET
City GAINESVILLE
State FL
Zip Code 32608-2116

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1942739214 Brittany R Brown Homemaker 2908 Sw 38th Place, Gainesville, FL 32608 2017-06-08
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295295178 North Florida Regional Psychiatry, LLC Clinic/Center 1121 Nw 64th Ter Ste B, Gainesville, FL 32605-4256 2019-03-25
1902317159 Gainesville Hospital District Clinic/Center 1900 Hospital Blvd Ste A, Gainesville, TX 76240-2002 2017-10-16
1881916427 Robert Clyde Grant Md PC Clinic/Center 174 Prior St Se, Gainesville, GA 30501-3447 2010-02-24
1932358207 Dragon Rises School of Oriental Medicine Clinic/Center 1000 Ne 16th Ave, Bldg. F, Gainesville, FL 32601-4557 2008-09-11
1417498031 Primary Care Physicians of Gainesville Clinic/Center 3780 Nw 83rd St, Gainesville, FL 32606-5603 2017-03-15
1093264384 First Resort Health Group Inc Clinic/Center 408 W University Ave, Suite 200, Gainesville, FL 32601-3248 2016-09-27
1801349915 Bristow Run Family Medicine Clinic/Center 14540 John Marshall Hwy, #104, Gainesville, VA 20155-1691 2016-07-26
1790135994 First Resort Health Group Inc D/b/a Alcide Chiropractic Clinic/Center 2727 Nw 43rd St, Suite 8, Gainesville, FL 32606-6632 2016-06-18
1043618259 Annual Wellness Centers of America Clinic/Center 3030 Mcever Rd, Suite 300, Gainesville, GA 30504-5579 2014-12-22
1316359383 North Florida Regional Psychiatry, LLC Clinic/Center 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605 2014-05-27
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Competitor

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City GAINESVILLE
Zip Code 32608

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Dataset Information

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.

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