Dept of Veterans Affairs

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

342662-1 Issued in NY

Legal business name

DEPT OF VETERANS AFFAIRS

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 376-1611

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Dugle

Title

Nurse Manager

Phone

(352) 376-1611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1184800740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24624 NW 25TH PLACE",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-472-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "DUGLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "352-376-1611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "342662-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Pathology, Immunology and Laboratory Medicine
• Department of Veteran Affairs
• Department of Vetrans Affairs
• Brunilda G Depaz, MA
• Oscar B Depaz, MD
• Dept of Veterans Affairs
• Taraneh Derakhshan
• Anthony Dominick Derenzi, DO
• Tammy Lee Derito, LPN
• Jacques Gregoire Derival, RPH

• Critical Access Hospital in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Critical Access Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.