NPIMap

Organization Active NPI

Department of Veterans Affairs

  • Health Service Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1104079821
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
28080 Issued in FL
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
2727 Winkler Ave
Fort Myers, FL 33901-9358
Phone
(239) 939-3939
NPI assigned
Oct 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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

Authorized official

Name
Joanne Marie Pacetti, ARRT
Title
Radiographer
Phone
(239) 939-3939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 28080 FL Primary
Mammography Clinic/Center 261QR0206X 168043 FL

Addresses

Primary practice location

2727 Winkler Ave
Fort Myers, FL 33901-9358

Mailing address

3704 SE 18TH Ave
Cape Coral, FL 33904-5075

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224892800000",
    "number": "1104079821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 SE 18TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019358",
            "telephone_number": "239-939-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A",
        "authorized_official_last_name": "PACETTI",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RADIOGRAPHER",
        "authorized_official_telephone_number": "239-939-3939",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "28080",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "168043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.