NPIMap

Organization Active NPI

Veterans Health Administration

  • VA Clinic/Center
  • Warren, OH
National Provider Identifier
1174617468
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
35060457 Issued in OH
Legal business name
VETERANS HEALTH ADMINISTRATION
Practice address
1400 Tod Ave NW
Warren, OH 44485-2483
Phone
(330) 392-0311
Fax
(330) 392-0323
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Murray Altose, M.D.
Title
Chief
Phone
(216) 791-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 35060457 OH Primary

Addresses

Primary practice location

1400 Tod Ave NW
Warren, OH 44485-2483

Mailing address

1400 Tod Ave NW
Warren, OH 44485-2483
Phone (330) 392-0311

Other identifiers 1

IdentifierTypeStateIssuer
VAD0000MedicaidOH

National Provider Directory

National Provider Directory

Locations

1400 Tod Ave NW
Warren, OH 44485
Phone (216) 841-3700

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1174617468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TOD AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852483",
            "telephone_number": "330-392-0311",
            "fax_number": "330-392-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TOD AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852483",
            "telephone_number": "330-392-0311",
            "fax_number": "330-392-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HEALTH ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ALTOSE",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "216-791-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "OH",
            "license": "35060457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VAD0000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.