Provider Demographics
NPI:1689466823
Name:VETERAN ADMINISTRATION MEDICAL CENTER
Entity type:Organization
Organization Name:VETERAN ADMINISTRATION MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-441-6102
Mailing Address - Street 1:3013 HILLTOP AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-7748
Mailing Address - Country:US
Mailing Address - Phone:918-441-6102
Mailing Address - Fax:
Practice Address - Street 1:3013 HILLTOP AVE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-7748
Practice Address - Country:US
Practice Address - Phone:918-441-6102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management