WEED ARMY COMMUNITY HOSPITAL (NPI# 1013320779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013320779 |
| Entity Type | Organization |
| Organization Name | WEED ARMY COMMUNITY HOSPITAL |
| Other Organization Name | DOD FT IRWIN EPHCY |
| Practice Address |
Weed Army Community Hospital Mary E. Walker Centerbldg. 170 Rm. 400 Fort Irwin CA 92310-5109 |
| Mailing Address |
Weed Army Community Hospital Po Box 105109 Fort Irwin CA 92310 |
| Practice Telephone | 7603807420 |
| Practice Fax Number | 7603801922 |
| Mailing Telephone | 7603807420 |
| Mailing Fax Number | 7603801922 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-06-19 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146205 | 01 |
| Other Name | Type Code |
|---|---|
| DoD FT IRWIN ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083028989 | Weed Army Community Hospital | Clinic/Center | Bldg 189 Ave B, Fort Irwin, CA 92310 | 2014-06-18 |
| 1891109799 | Weed Army Community Hospital | Clinic/Center | Ave B Bldg R190, Warrior Care Center, Fort Irwin, CA 92310 | 2014-06-18 |
| 1467864090 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 301 C St Bldg 990, Us Army Health Clinic,yuma Proving Ground, Ypg, AZ 85365-9498 | 2014-06-02 |
| 1780968321 | Weed Army Community Hospital | Clinic/Center | Building 295 Avenue B, Fort Irwin, CA 92310 | 2011-09-30 |
| 1689870859 | Weed Army Community Hospital | Clinic/Center | 3rd St and G St, Bldg 478, Fort Irwin, CA 92310 | 2007-06-25 |
| 1235335407 | Weed Army Community Hospital | Clinic/Center | 4th St and Interloop, Bldg 171, Fort Irwin, CA 92310 | 2007-06-25 |
| 1194931683 | Weed Army Community Hospital | Clinic/Center | Inner Loop Bldg 170, Fort Irwin, CA 92310 | 2007-05-14 |
| 1154465748 | Weed Army Community Hospital | Skilled Nursing Facility | Building 166 Third Street, Fort Irwin, CA 92310 | 2007-02-16 |
| 1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
| 1396844338 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 990, Yuma, AZ 85365 | 2006-09-22 |
| Street Address |
WEED ARMY COMMUNITY HOSPITAL MARY E. WALKER CENTERBLDG. 170 RM. 400 |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770546459 | Hope Marie Williamson | Nurse Practitioner | Weed Army Community Hospital, Bldg 166, 3rd Street, Fort Irwin, CA 92310 | 2006-04-11 |
| 1811262884 | Edward Wang | General Practice | Weed Army Community Hospital, 390 North Loop Road, Fort Irwin, CA 92310 | 2012-03-09 |
| 1851685135 | Deanne Elizabeth Grayson | Psychiatry & Neurology | Weed Army Community Hospital, Bldg 390 Outer Loop, Fort Irwin, CA 92310 | 2011-06-05 |
| 1518088426 | Holly Joan Berens | Licensed Practical Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-04-02 |
| 1730212804 | Michael Thomas Smalley | Licensed Vocational Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-03-14 |
| 1609911908 | Doris Marie Wolfe-bohannon | Registered Nurse | Weed Army Community Hospital, Building 170, Fort Irwin, CA 92310-0198 | 2007-02-21 |
| 1588730444 | Richard Alfred Behr | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-11-24 |
| 1255356416 | Us Army Nursing Corp | Medicare Defined Swing Bed Unit | Weed Army Community Hospital, Fort Irwin, CA 92310-5109 | 2006-07-12 |
| 1881642387 | Patrick Brian Polk | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| 1013965417 | Katrina Dawn Beck | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765125 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 135 Santa Margarita Rd, Camp Pendelton, CA 92055 | 2016-04-13 |
| 1821485152 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 | 2015-04-24 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 1265846323 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 34800 Bob Wilson Dr Ste 3, San Diego, CA 92134-1003 | 2014-06-17 |
| 1285048348 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 | 2014-06-17 |
| 1205249042 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 | 2014-06-10 |
| 1275946444 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Regiment, 16th Street, Camp Pendelton, CA 92055 | 2014-06-05 |
| 1366855538 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 | 2014-06-05 |
| 1841603248 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Naf, Bldg 23, El Centro, CA 92055 | 2014-06-04 |
| 1043622681 | David S Grant Medical Center | Military/U.S. Coast Guard Pharmacy | 461 Skymaster Cir Rm 149, Travis Afb, CA 94535-1909 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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| 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.