NPIMap

Organization Active NPI

VA Maryland Health Care System

  • VA Clinic/Center
  • Perry Point, MD
National Provider Identifier
1043541279
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
14777 Issued in MD
Legal business name
VA MARYLAND HEALTH CARE SYSTEM
Practice address
361 Boiler House Rd
VA Medical Center
Perry Point, MD 21902-1103
Phone
(410) 642-2411
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joyce Edmondson
Title
Compliance and Business Integrity
Phone
(410) 605-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 14777 MD Primary

Addresses

Primary practice location

361 Boiler House Rd
VA Medical Center
Perry Point, MD 21902-1103

Mailing address

361 Boiler House Rd
VA Medical Center
Perry Point, MD 21902-1103
Phone (410) 642-2411

National Provider Directory

National Provider Directory
Tax ID family
Baltimore Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

361 Boiler House Rd
Perry Point, MD 21902
Phone (845) 558-2673

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1043541279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BOILER HOUSE RD",
            "address_2": "VA MEDICAL CENTER",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021103",
            "telephone_number": "410-642-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 BOILER HOUSE RD",
            "address_2": "VA MEDICAL CENTER",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021103",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MARYLAND HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COMPLIANCE AND BUSINESS INTEGRITY",
        "authorized_official_telephone_number": "410-605-7055"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "MD",
            "license": "14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.