Lake City Veteran'S Hospital

Primary specialty

Military HospitalTaxonomy code 286500000X

License

RN2940162 Issued in FL

Legal business name

LAKE CITY VETERAN'S HOSPITAL

Practice address

619 S Marion Ave
Lake City, FL 32025-5808

Phone

(386) 755-3016

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Nancy Reissener

Title

Associate Director

Phone

(386) 758-3209

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1992975411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY VETERAN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "REISSENER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "386-758-3209"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "FL",
            "license": "RN2940162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake City Pharmacy Inc
• Lake City Regional Medical Group LLC
• Lake City Rehab LLC
• Lake City Spine & Injury, LLC
• Lake City Surgery Center, LLC
• Lake City Vision PA
• Lake Citytherapeutic LLC
• Lake Shore Center for Aesthetics & Plastic Surgery PA
• Lake Shore Hma Medical Group LLC
• Lake Shore Hma, LLC

• Military Hospital in Lake City, FL
• Providers in Lake City, FL by specialty
• Military Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.