NPIMap

Organization Active NPI

Department of Veterans Affairs

  • General Acute Care Hospital
  • Winston Salem, NC
National Provider Identifier
1073863197
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
190 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 768-3296
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Terri Everett
Title
Bros
Phone
(336) 768-3296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

190 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

4280 Lake Cliff Dr
Clemmons, NC 27012-8408
Phone (828) 719-0573

National Provider Directory

National Provider Directory

Locations

190 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 768-3296

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1073863197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 LAKE CLIFF DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128408",
            "telephone_number": "828-719-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "BROS",
        "authorized_official_telephone_number": "336-768-3296"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.