KWAJALEIN RANGE SERVICES (NPI# 1003941675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003941675 |
| Entity Type | Organization |
| Organization Name | KWAJALEIN RANGE SERVICES |
| Other Organization Name | KWAJALEIN HOSPITAL |
| Practice Address |
Ocean Road Box 1702 Apo AP 96555 UM |
| Mailing Address |
Po Box 1321 Ocean Road Apo AP 96555 |
| Practice Telephone | 8053552220 |
| Practice Fax Number | 8053551885 |
| Mailing Telephone | 8053552220 |
| Mailing Fax Number | 8053551885 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINN EZELL (SUPERVISOR, BUSINESS OPERATIONS) |
| Authorized Official Telephone | 8053552220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
NONE -NOT IN U.S | Hospitals |
| Other Name | Type Code |
|---|---|
| Kwajalein Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740359850 | Kwajalein Range Services | Military Hospital | Building 603 Ocean Drive, Us Army Kwajalein Atoll Box 1702, Apo, AP 96555 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | KWAJALEIN RANGE SERVICES, LLC | 4975 Bradford Dr, Ste 300, Huntsville, AL 35805 |
| Street Address |
OCEAN ROAD BOX 1702 |
| City | APO |
| State | AP |
| Zip Code | 96555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801064399 | Jan Christian Budo | Dental Hygienist | Box 1700, Apo, AP 96555 | 2008-02-19 |
| 1326172685 | John Edward Janikowski | Family Medicine | Bldg 603 Ocean Road, A.p.o. A.p. 96555, A.p.o., CA 96555 | 2007-03-16 |
| 1245365857 | Cathy Stores | Physical Therapist | Kwajalein Hospital,ocean Road, Apo, AP 96555 | 2007-02-22 |
| 1740359850 | Kwajalein Range Services | Military Hospital | Building 603 Ocean Drive, Us Army Kwajalein Atoll Box 1702, Apo, AP 96555 | 2006-11-06 |
| 1215034079 | Kwajalein Phcy | Military/U.S. Coast Guard Pharmacy | 1702 6th Street Bldg 603, Apo, AP 96555 | 2006-09-20 |
| 1558349928 | Melinda Janine Armstrong | Physician Assistant | Kwajalein Hospital, Apo, AP 96555 | 2006-01-05 |
| 1831222918 | Bess I Buchanan | Physician Assistant | Kwajalein Hospital, Ocean Road, A.p.o. A.p., CA 96555 | 2007-03-14 |
| 1619135324 | Steven Lee Clause | Pharmacist | 1087 Building 601 Ocean Road, Us Army Kwajalein Atoll, Apo, AP 96555-1087 | 2008-05-29 |
| 1477058840 | International Sos Government Medical Services, Inc. | Military Hospital | Kwajalein Hospital, Unit 45081, Apo, AP 96555-5801 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
Please comment or provide details below to improve the information on KWAJALEIN RANGE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.