NPIMap

Organization Active NPI

Department of Veteran's Affairs--Tomah VA Medical Center

  • Chronic Disease Hospital
  • Tomah, WI
National Provider Identifier
1073552758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
DEPARTMENT OF VETERAN'S AFFAIRS--TOMAH VA MEDICAL CENTER
Practice address
500 E Veterans St
PM&RS, KT 402/1220 Clinic
Tomah, WI 54660-3105
Phone
(608) 372-3971
Fax
(608) 372-1724
NPI assigned
Jun 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kristen Valest
Title
PM&RS Supervisor
Phone
(608) 372-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X NU Primary

Addresses

Primary practice location

500 E Veterans St
PM&RS, KT 402/1220 Clinic
Tomah, WI 54660-3105

Mailing address

425 Monroe St
Black River Falls, WI 54615-1225
Phone (715) 299-0529

National Provider Directory

National Provider Directory
Tax ID family
Tomah Vamc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073552758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MONROE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151225",
            "telephone_number": "715-299-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS ST",
            "address_2": "PM&RS, KT 402/1220 CLINIC",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546603105",
            "telephone_number": "608-372-3971",
            "fax_number": "608-372-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN'S AFFAIRS--TOMAH VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALEST",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PM&RS SUPERVISOR",
        "authorized_official_telephone_number": "608-372-3971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.