Richard L. Roudebush VA Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

30006732A Issued in IN

Legal business name

RICHARD L. ROUDEBUSH VA MEDICAL CENTER

Practice address

4601 E Centennial Ave
Muncie, IN 47303-2610

Phone

(317) 448-0843

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By 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

Mr. Christopher Harlan, RRT/CRTT

Title

RRT

Phone

(317) 448-0843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1912340365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E CENTENNIAL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032610",
            "telephone_number": "317-448-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E CENTENNIAL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473032610",
            "telephone_number": "317-448-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. ROUDEBUSH VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "RRT",
        "authorized_official_telephone_number": "317-448-0843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT/CRTT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IN",
            "license": "30006732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Rhodes, LPN
• Jessie Rice, M.D.
• Travis A Rice
• Richard Gregory Pyle D.D.S., P.C.
• Richard Gregory Pyle DDS PC
• Richard R. Nowakowski, DDS, LLC
• Richard T. Ellison, DDS, Inc
• Samantha Richards, LCSW
• Jeremy P Richardson, RBT
• Margaret Richardson, LCSW

• Military Hospital in Muncie, IN
• Providers in Muncie, IN by specialty
• Military Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.