MONTGOMERY VAMC (NPI# 1982074720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982074720 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VAMC |
| Other Organization Name | FORT BENNING VA CLINIC |
| Practice Address |
6635 Bass Road Bldg. 9214 Fort Benning GA 31905-9998 |
| Mailing Address |
Po Box 89470 Cleveland OH 44101-6470 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2018-04-12 |
| 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 |
|---|---|
| FORT BENNING VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1255389730 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-05-05 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1942665278 | Montgomery Vamc | Clinic/Center | 8105 Veterans Way, Montgomery, AL 36117-9998 | 2015-12-31 |
| 1518355650 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Circle, Suite 4, Dothan, AL 36303-2291 | 2014-12-23 |
| 1063755668 | Montgomery Vamc | Clinic/Center | 159 Whetstone St, Monroeville, AL 36460-2625 | 2013-04-02 |
| 1790015402 | Montgomery Vamc | Clinic/Center | 301 Andrews Avenue, Ft. Rucker, AL 36362-7836 | 2009-12-31 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| Street Address |
6635 BASS ROAD BLDG. 9214 |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333649 | Atlanta Vamc | Clinic/Center | 2309 Parklake Dr Ne, Atlanta, GA 30345-2914 | 2019-09-03 |
| 1962050286 | Atlanta Vamc | Clinic/Center | 934 E Church St, Jasper, GA 30143-1926 | 2019-08-29 |
| 1811545130 | Atlanta Vamc | Clinic/Center | 1800 Phoenix Blvd Ste 100, College Park, GA 30349-6055 | 2019-08-29 |
| 1811551633 | Atlanta Vamc | Clinic/Center | 2217 Roswell Rd Ste 114, Marietta, GA 30062-2957 | 2019-04-26 |
| 1871981084 | Atlanta Vamc | Clinic/Center | 755 Commerce Drive, Suite 700, Decatur, GA 30030-2621 | 2014-12-23 |
| 1174911200 | Atlanta Vamc | Clinic/Center | 1513 Cleveland Avenue, Suite 300, East Point, GA 30344-6951 | 2014-12-23 |
| 1669860888 | Atlanta Vamc | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 402, Atlanta, GA 30345-2739 | 2014-12-23 |
| 1770836884 | Dublin Vamc | Clinic/Center | 1824 Ridge Avenue North, Tifton, GA 31794-9998 | 2012-10-26 |
| 1669729570 | Atlanta Vamc | Clinic/Center | 180 Martin Dr., Carrollton, GA 30117-2425 | 2012-08-09 |
| 1780814368 | Atlanta Vamc | Clinic/Center | 39-a Oak Hill Court, Newnan, GA 30265 | 2009-07-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
Please comment or provide details below to improve the information on MONTGOMERY VAMC.
| 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.