C,W. Bill Young VA Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PN5213032 Issued in FL

Legal business name

C,W. BILL YOUNG VA MEDICAL CENTER

Practice address

521 Atwood Ave N
Saint Petersburg, FL 33702-6810

Phone

(727) 526-7000

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Paul Ayllon

Title

Human Resources

Phone

(727) 398-6661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1174979413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 42ND AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337054416",
            "telephone_number": "727-793-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ATWOOD AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337026810",
            "telephone_number": "727-526-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C,W. BILL YOUNG VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "AYLLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "727-398-6661"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PN5213032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.