Active NPI
Minneapolis Vamc
- Critical Access Hospital
- Minneapolis, MN
National Provider Identifier
1073627931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 9084
- Legal business name
- MINNEAPOLIS VAMC
- Practice address
- 1 Veterans Dr
Minneapolis, MN 55417-2309 - Phone
- (612) 725-2065
- NPI assigned
- Aug 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roderick Barke, MD, PHD
- Title
- Cheif Specialty Care PSL
- Phone
- (612) 725-2065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 9084 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
1 Veterans Dr
Minneapolis, MN 55417-2309
National Provider Directory
National Provider Directory- Tax ID family
- Depatment of Veterans Affairs
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Special Hospital
- Minneapolis, MN
- NPI 1255505558
Locations
1 Veterans Dr
Minneapolis, MN 55417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073627931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-725-2065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNEAPOLIS VAMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARKE",
"authorized_official_first_name": "RODERICK",
"authorized_official_title_or_position": "CHEIF SPECIALTY CARE PSL",
"authorized_official_telephone_number": "612-725-2065",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "MN",
"license": "9084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
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.