WINN-THRID PARTY INSURANCE (NPI# 1093929804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093929804 |
Entity Type | Organization |
Organization Name | WINN-THRID PARTY INSURANCE |
Other Organization Name | TUTTLE ARMY HEALTH CLINIC |
Practice Address |
230 Duncan Dr Bldg 1440 Hunter Army Airfield Savannah GA 31409-5107 |
Mailing Address |
1061 Harmon Ave Ste 1d03 Fort Stewart GA 31314-5641 |
Practice Telephone | 9123156500 |
Mailing Telephone | 9124356037 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2014-01-03 |
Authorized Official Name | HENRY FORD (CHIEF, UBO) |
Authorized Official Telephone | 9124356175 |
Is Organization Subpart | Y |
Parent Organization Name | WINN-THRID PARTY INSURANCE |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PARENT FACILITY WINN ACH NPI | 1225081136 | 01 |
Other Name | Type Code |
---|---|
TUTTLE ARMY HEALTH CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275929770 | Winn-thrid Party Insurance | Clinic/Center | 952 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
1528454022 | Winn-thrid Party Insurance | Clinic/Center | 1746 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
1235442328 | Winn-thrid Party Insurance | Clinic/Center | 2451a Hwy 17, Station Shopping Center, Richmond Hill, GA 31324-6422 | 2010-07-19 |
1417151788 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Building 2115, Suite 100, Fort Stewart, GA 31314 | 2007-06-12 |
1235333592 | Winn-thrid Party Insurance | Clinic/Center | 434 Vanguard Road, Fort Stewart, GA 31314 | 2007-06-12 |
1912101270 | Winn-thrid Party Insurance | Clinic/Center | 55 Pony Soldier Road, Building 253-s, Fort Stewart, GA 31314 | 2007-06-12 |
1437353778 | Winn-thrid Party Insurance | Clinic/Center | 320 Harmon Avenue, Suite 2j11b, Fort Stewart, GA 31314 | 2007-06-12 |
1932302437 | Winn-thrid Party Insurance | Clinic/Center | Bldg 440 6th Street and Gulick Ave, Fort Stewart, GA 31314-5641 | 2007-06-11 |
1457567281 | Winn-thrid Party Insurance | Clinic/Center | 192 Lindquist Road, Bldg 412, Ft Stewart, GA 31314 | 2007-05-16 |
1780955104 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Troop Med Clinic-ft. Stewart, Fort Stewart, GA 31314 | 2012-01-17 |
Street Address |
230 DUNCAN DR BLDG 1440 HUNTER ARMY AIRFIELD |
City | SAVANNAH |
State | GA |
Zip Code | 31409-5107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194724781 | Meryl Lyn Delena | Social Worker | 230 Duncan Dr, Building 1440, Savannah, GA 31409-5102 | 2005-07-18 |
1386206282 | Charles Thmoas Blosch IIi | Emergency Medical Technician, Basic | 230 Duncan Dr, Savannah, GA 31409-5107 | 2019-07-01 |
1912357468 | Lorraine Middleton Ross | Dental Hygienist | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2016-06-15 |
1417307968 | Alvinette Glover | Dental Hygienist | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2016-06-15 |
1215387766 | Evelyn A King | Dental Assistant | 230 Duncan Dr, Bld 1440, Savannah, GA 31409-5107 | 2016-06-15 |
1932501574 | Maryjo Boyles | Licensed Practical Nurse | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2014-09-25 |
1801297213 | Jacqueline Harvey | Registered Nurse | 230 Duncan Dr, Bldg. 1440, Savannah, GA 31409-5107 | 2014-09-05 |
1710387196 | Linda Biggerman | Licensed Practical Nurse | 230 Duncan Dr, Savannah, GA 31409-5107 | 2014-09-04 |
1093116444 | Shayla Walston | Licensed Practical Nurse | 230 Duncan Dr, Bldg 1440, Savannah, GA 31409-5107 | 2014-09-04 |
1063812485 | Cynthia Davis | Licensed Practical Nurse | 230 Duncan Dr, Savannah, GA 31409-5107 | 2014-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003135542 | E Delores Hughes | Counselor | 6400 Waters Avenue, Savannah, GA 31409 | 2010-05-24 |
1790875029 | Winn-third Party Insurance | Military/U.S. Coast Guard Pharmacy | Hunter Af Bldg, Bldg 1450, Savannah, GA 31409 | 2006-10-16 |
1174587042 | David Pressman | Psychologist | 230 Duncan Dr., Bldg. 1440 - Tahc Behavioral Health, Savannah, GA 31409 | 2006-04-17 |
1841277605 | Patrick John Rockwell | Military Health Care Provider | Us Coast Guard Airstation Savannah, 1297 North Lightning Road Hunter Army Airfield, Savannah, GA 31409 | 2005-12-22 |
1376526681 | John Wayne Bruce | Pharmacist | Tuttle Army Health Clinic, Hunter Army Airfield, Savannah, GA 31409 | 2005-11-22 |
1578556346 | Byron Lewis Cannaday Jr. | Physician Assistant | 230 Duncan Drive Hunter Army Airfield, Tuttle Army Health Clinic, Savannah, GA 31409 | 2005-08-26 |
1447761432 | Lynn Marie Rivas | Registered Nurse | Tuttle Army Health Clinic, 230 Duncan Dr., Bldg. 1440, Haaf, GA 31409 | 2017-10-17 |
1417906736 | Francisco Ruiz | Dentist | 230 Duncan Drive, Bldg. 1440 Suite C121, Hunter Army Airfield, GA 31409 | 2006-05-06 |
1639159130 | Lasundra Walker Hursey | Social Worker | Tuttle Army Health Clinic, Hunter Army Airfield, GA 31409 | 2006-01-19 |
1306816749 | Peter T. Bulatao | Pharmacist | 230 Duncan Dr Bldg #1440, Tuttle Health Clinic, Hunter Army Airfield, GA 31409-0000 | 2006-01-26 |
Find all providers in zip 31409 |
Taxonomy Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669676953 | Winn-thrid Party Insurance | Clinic/Center | 230 Duncan Dr, Bldg 1440, Suite C121, Savannah, GA 31409-5102 | 2007-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275929770 | Winn-thrid Party Insurance | Clinic/Center | 952 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
1528454022 | Winn-thrid Party Insurance | Clinic/Center | 1746 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
1235442328 | Winn-thrid Party Insurance | Clinic/Center | 2451a Hwy 17, Station Shopping Center, Richmond Hill, GA 31324-6422 | 2010-07-19 |
1053624130 | Martin Army Community Hospital | Clinic/Center | 6976 Old Cusseta Rd, Harmony Church, Fort Benning, GA 31905-5431 | 2010-07-19 |
1063616266 | Martin Army Community Hospital | Clinic/Center | 9200 Mame Road, Fort Benning, GA 31905 | 2007-06-12 |
1417151788 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Building 2115, Suite 100, Fort Stewart, GA 31314 | 2007-06-12 |
1588868848 | Eisenhower Army Medical Center | Clinic/Center | 320 Hospital Road, Fort Gordon, GA 30905 | 2007-06-12 |
1235333592 | Winn-thrid Party Insurance | Clinic/Center | 434 Vanguard Road, Fort Stewart, GA 31314 | 2007-06-12 |
1245434448 | Martin Army Community Hospital | Clinic/Center | 2622 Soldiers Plaza, Fort Benning, GA 31905 | 2007-06-12 |
1912101270 | Winn-thrid Party Insurance | Clinic/Center | 55 Pony Soldier Road, Building 253-s, Fort Stewart, GA 31314 | 2007-06-12 |
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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.