Malcom Randall VA Medical Center

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

828464 Issued in FL

Legal business name

MALCOM RANDALL VA MEDICAL CENTER

Practice address

1601 S.W Archer Road
Gainesville, FL 32608-1135

Phone

(352) 376-1611

Fax

(352) 374-6113

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Miriam Machado-Rodriguez, RN-BSN

Title

Nurse-BSN

Phone

(352) 376-1611

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1518157551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S.W 34TH STREET",
            "address_2": "APT. GG-334",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-367-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S.W ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611",
            "fax_number": "352-374-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOM RANDALL VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "MACHADO-RODRIGUEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "NURSE-BSN",
        "authorized_official_telephone_number": "352-376-1611",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "828464",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PR",
            "license": "024871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Z Malaty, MD
• Malcolm Randal VA Medical Center
• Malcolm Randall Vamc
• Tamelia Malcolm, MS
• Malcom Randal VA Medical Center
• Malcom Randall Vamc
• Jose L Maldonado Hevia, CRNA
• Koraima Maldonado Rivera
• Erica Maldonado-Monroy
• Ricardo Andres Maldonado-Puebla, DO

• 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 Jul 26, 2007; 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.