121ST CSH/BAACH


Address: Unit 15663, Bldg 600, Apo, AP 96297
Phone: 01182279171858

121ST CSH/BAACH (NPI# 1053517144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053517144
Entity Type Organization
Organization Name 121ST CSH/BAACH
Other Organization Name USADC CAMP LONG
Practice Address Unit 15663, Bldg 600
Apo
AP 96297
Mailing Address Unit 15244 Box 316
Attn Ubo
Apo
AP 96205-5244
Practice Telephone 01182279171858
Mailing Telephone 01182279171858
Enumeration Date 2007-06-25
Last Update Date 2014-04-21
Authorized Official Name CHONG MCCUE (UBO MANAGER)
Authorized Official Telephone 01182279171857
Is Organization Subpart Y
Parent Organization Name 121ST CSH/BAACH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
USADC CAMP LONG Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568660348 121st Csh/baach Clinic/Center Unit 15652, Bldg 1665, Apo, AP 96205 2007-07-03
1811195696 121st Csh/baach Clinic/Center Unit 15652, Bldg 3576, Apo, AP 96205 2007-07-03
1457559239 121st Csh/baach Clinic/Center Unit 15652, Bldg 7005, Apo, AP 96205 2007-07-03
1730387515 121st Csh/baach Clinic/Center Unit 15652, Bldg S4034, Apo, AP 96205 2007-07-03
1306042494 121st Csh/baach Clinic/Center Unit 15658, Bldg 808, Apo, AP 96224 2007-06-25
1730385824 121st Csh/baach Clinic/Center Unit 15659, Bldg 220, Apo, AP 96218 2007-06-25
1215133301 121st Csh/baach Clinic/Center Unit 15660, Bldg 555, Apo, AP 96271 2007-06-25
1700082880 121st Csh/baach Clinic/Center Unit 15652, Bldg 5107, Apo, AP 96205 2007-06-25
1295931384 121st Csh/baach Clinic/Center Unit 15653, Bldg S306, Apo, AP 96258 2007-06-25
1063618148 121st Csh/baach Clinic/Center Unit 15662, Bldg S137, Apo, AP 96260 2007-06-25

Office Location

Street Address UNIT 15663, BLDG 600
City APO
State AP
Zip Code 96297

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962038661 Maria Cecilia Canlas Nurse Practitioner Psc 444 Box #94, Apo, AP 96297-9998 2020-03-14

Providers in the same city

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 Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891982518 Jtf-b Med El-honduras Clinic/Center Unit 5700, Apo, AA 34042 2007-09-26
1568660348 121st Csh/baach Clinic/Center Unit 15652, Bldg 1665, Apo, AP 96205 2007-07-03
1811195696 121st Csh/baach Clinic/Center Unit 15652, Bldg 3576, Apo, AP 96205 2007-07-03
1457559239 121st Csh/baach Clinic/Center Unit 15652, Bldg 7005, Apo, AP 96205 2007-07-03
1730387515 121st Csh/baach Clinic/Center Unit 15652, Bldg S4034, Apo, AP 96205 2007-07-03
1306042494 121st Csh/baach Clinic/Center Unit 15658, Bldg 808, Apo, AP 96224 2007-06-25
1730385824 121st Csh/baach Clinic/Center Unit 15659, Bldg 220, Apo, AP 96218 2007-06-25
1215133301 121st Csh/baach Clinic/Center Unit 15660, Bldg 555, Apo, AP 96271 2007-06-25
1700082880 121st Csh/baach Clinic/Center Unit 15652, Bldg 5107, Apo, AP 96205 2007-06-25
1295931384 121st Csh/baach Clinic/Center Unit 15653, Bldg S306, Apo, AP 96258 2007-06-25
Find all providers in APO

Competitor

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City APO
Zip Code 96297

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Dataset Information

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.

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