Vertern'S Affairs Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

DP00943390 Issued in WV

Legal business name

VERTERN'S AFFAIRS MEDICAL CENTER

Practice address

510 Butler Ave
Martinsburg, WV 25405-9990

Phone

(304) 263-0811

Fax

(304) 262-4844

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eurone NMN Graham, PHD, LCSW, LICSW

Title

ER Mental Health Consultant

Phone

(304) 263-0811

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1285960690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059990",
            "telephone_number": "304-263-0811",
            "fax_number": "304-262-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059990",
            "telephone_number": "304-263-0811",
            "fax_number": "304-262-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTERN'S AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "EURONE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "ER MENTAL HEALTH CONSULTANT",
        "authorized_official_telephone_number": "304-263-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "WV",
            "license": "DP00943390",
            "primary": true
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "KY",
            "license": "KY-903",
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MS",
            "license": "C7013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Veach, LPC NCC
• Tammy Velasquez Penaloza
• John C Veltman, MD
• Vicki D Verdeyen, ED.D.
• Arlene Vergara
• Veteran'S Administraction Medical Center
• Vijayaleela G Victor, M.D.
• Marlene Vilela
• Christopher Kelly Vincent, M.D. PH.D.
• Nick George Vindivich III, BA

• Military Hospital in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Military Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.