Vamc

Primary specialty

Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X

License

22 Issued in FL

Legal business name

VAMC

Practice address

170 Castle Dr
Gainesville, FL 32607-1789

Phone

(352) 376-1611

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Connie L Phillips, CRT.,PSGT

Title

Sleep Tech

Phone

(909) 730-6365

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dept Of Veteran Affairs Former legal business name

Practitioners 1

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

• CJ Phillips

  • Certified Respiratory Therapist
  • Gainesville, FL
  • NPI 1801973458
  NPD (past)

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356438550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CASTLE DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CASTLE DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071789",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SLEEP TECH",
        "authorized_official_telephone_number": "909-730-6365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT.,PSGT"
    },
    "taxonomies": [
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "FL",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22",
            "identifier": "22",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept Of Veteran Affairs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brooke Allison Vallas
• Sebastian Jose Vallejo, MD
• Stacey Jewel Valles
• Guerlintz Valmond
• Adriana Elena Valverde Zuniga, MD
• Carla Sha Van Arnam, LMT
• Gerritdina Van Atten-Kireta, ARNP
• Matthew Van Auken, DMD
• Tyler Scott Van Auken
• Thomas Richard Van Den Abell, PH.D.

• Military Hospital in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Military Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.