FAYETTEVILLE VAMC


Address: 7300 S Raeford Rd, Fayetteville, NC 28304-6162
Phone: 8282572333

FAYETTEVILLE VAMC (NPI# 1972974392) 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) 1972974392
Entity Type Organization
Organization Name FAYETTEVILLE VAMC
Other Organization Name FAYETTEVILLE 3 VA CLINIC
Practice Address 7300 S Raeford Rd
Fayetteville
NC 28304-6162
Mailing Address Po Box 89494
Cleveland
OH 44101-6494
Practice Telephone 8282572333
Mailing Telephone 8282572333
Enumeration Date 2015-10-12
Last Update Date 2018-04-11
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FAYETTEVILLE 3 VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992264824 Fayetteville Vamc Clinic/Center 3015 Connecticut Ave, Joplin, MO 64804-3035 2019-03-19
1659879138 Fayetteville Vamc Clinic/Center 4 Josh Ct, Jacksonville, NC 28546-0052 2018-01-30
1194256362 Fayetteville Vamc Clinic/Center 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 2017-03-21
1528456811 Fayetteville Vamc Clinic/Center 216 East Township Street, Fayetteville, AR 72703-2818 2015-01-08
1124422308 Fayetteville Vamc Clinic/Center 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 2014-10-16
1962819052 Fayetteville Vamc Clinic/Center 18 Doctors Cir Ste 2, Supply, NC 28462-4089 2014-07-21
1114270212 Fayetteville Vamc Clinic/Center 3112 Tramway Road, Sanford, NC 27332-9998 2012-10-26
1912201146 Fayetteville Vamc Clinic/Center 139 Three Hunts Drive, Pembroke, NC 28372-6800 2011-01-03
1831415751 Fayetteville Vamc Clinic/Center 2713 W Commercial St, Ozark, AR 72949-3409 2010-04-16
1568417798 Fayetteville Vamc Clinic/Center 4006 Henderson Drive, Jacksonville, NC 28546-9998 2006-05-24

Office Location

Street Address 7300 S RAEFORD RD
City FAYETTEVILLE
State NC
Zip Code 28304-6162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013912369 Albert Vazquez Lugo Urology 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2005-06-14
1730795642 Kathleen Herring Holmes Social Worker 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2020-09-17
1033742515 Cynthia Thompkins Nurse Practitioner 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2020-02-12
1588202667 Jacquelyn Marie Parker Dietitian, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-12-19
1861043465 Karen Parnell Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-09-25
1073169959 Rhomela Imperial Lindo Nurse Practitioner 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-08-15
1245884428 Terry Mead Binkley Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-07-26
1215581491 Kelley Andrea Willis Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-07-26
1730733908 Kim Marie Russell Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-07-26
1568015964 Arlene Rice Respiratory Therapist, Registered 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2019-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
Find all providers in zip 28304

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194256362 Fayetteville Vamc Clinic/Center 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 2017-03-21
1528456811 Fayetteville Vamc Clinic/Center 216 East Township Street, Fayetteville, AR 72703-2818 2015-01-08
1649721309 Fayetteville Vamc Clinic/Center 2300 Ramsey Street, Fayetteville, NC 28301-3856 2016-10-18
1437547726 Fayetteville Vamc Clinic/Center 180 E Sunbridge Dr, Fayetteville, AR 72703-2830 2015-01-08
1457759615 Fayetteville Vamc Clinic/Center 2300 Ramsey St, Fayetteville, NC 28301-3856 2014-12-19
1801294145 Fayetteville Vamc Clinic/Center 2301 Robeson St, Fayetteville, NC 28305-5640 2014-12-19
1134473440 Fayetteville Vamc Clinic/Center 1100 N College Ave, Fayetteville, AR 72703-1944 2012-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003446105 Durham Vamc Clinic/Center 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 2020-01-17
1659879138 Fayetteville Vamc Clinic/Center 4 Josh Ct, Jacksonville, NC 28546-0052 2018-01-30
1457719312 Salisbury Vamc Clinic/Center 3506 W Tyvola Road, Charlotte, NC 28208-9998 2016-02-08
1609274943 Durham Vamc Clinic/Center 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 2014-12-19
1124422308 Fayetteville Vamc Clinic/Center 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 2014-10-16
1962819052 Fayetteville Vamc Clinic/Center 18 Doctors Cir Ste 2, Supply, NC 28462-4089 2014-07-21
1114270212 Fayetteville Vamc Clinic/Center 3112 Tramway Road, Sanford, NC 27332-9998 2012-10-26
1174800585 Hampton Vamc Clinic/Center 1845 West City Drive, Elizabeth City, NC 27909-9633 2011-11-14
1912201146 Fayetteville Vamc Clinic/Center 139 Three Hunts Drive, Pembroke, NC 28372-6800 2011-01-03
1811225428 Asheville Vamc Clinic/Center 2270 College Ave Ste 145, Forest City, NC 28043-2459 2009-11-20
Find all providers with the same taxonomy

Competitor

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City FAYETTEVILLE
Zip Code 28304

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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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