MCDONALD ARMY HEALTH CARE CENTER (NPI# 1104207877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104207877 |
Entity Type | Organization |
Organization Name | MCDONALD ARMY HEALTH CARE CENTER |
Practice Address |
576 Jefferson Ave Fort Eustis VA 23604-1373 |
Practice Telephone | 7573147500 |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |
Authorized Official Name | FERNANDO ORTIZ (DEPUTY COMMANDER CLINICAL SERVICES) |
Authorized Official Telephone | 7573147500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | 0119002964 | VA | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154484285 | Mcdonald Army Health Care Center | Clinic/Center | 211 Heron Dr, Newport News, VA 23608-1779 | 2006-12-19 |
Street Address |
576 JEFFERSON AVE |
City | FORT EUSTIS |
State | VA |
Zip Code | 23604-1373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861498545 | Laura Ellen Higdon | Family Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1602 | 2005-06-27 |
1497278733 | Honora Nicolai Francis | Radiologic Technologist | 576 Jefferson Ave, Fort Eustis, VA 23604 | 2017-07-19 |
1629444153 | Joshua Tobin Sigler | Emergency Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-08-19 |
1184007312 | Kelly Erin Mcelroy | Dentist | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-07-07 |
1477934867 | Sabrina Rebekah Szabo | Dermatology | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-11 |
1013325679 | Adam Edward Lang | Pharmacist | 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 | 2014-07-28 |
1861807703 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-06-30 |
1245657329 | Stephany Anne Cockrum | Social Worker | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-03-26 |
1104165257 | Paula Trinchell Moore | Pharmacist | 576 Jefferson Ave, Fhc, Fort Eustis, VA 23604-1373 | 2013-02-10 |
1770827164 | Virginia A Glover | Clinical Exercise Physiologist | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2012-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
Find all providers in zip 23604 |
Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134510936 | Rehab Management Inc | Rehabilitation Unit | 474 Backmeadows Ln, Marion, VA 24354-6475 | 2015-02-15 |
1457681124 | School-based Therapy and Resources, LLC | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2010-01-02 |
1376796904 | Joyce A. Bolling | Rehabilitation Unit | 1315 Hopkins Rd, Richmond, VA 23224-6509 | 2008-10-28 |
1841489531 | Spine and Sport Rehab Center Inc | Rehabilitation Unit | 4656d King St, Alexandria, VA 22302-1215 | 2007-10-17 |
1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
1093110702 | Kimberly Lephart | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2014-10-24 |
1164835807 | Acupuncture & Herbs Clinic | Rehabilitation Unit | 7535 Little River Tpke Ste 103a, Annandale, VA 22003-2983 | 2014-06-10 |
1134448541 | Smyth County Community Hospital | Rehabilitation Unit | 245 Medical Park Dr, Marion, VA 24354-1100 | 2010-05-25 |
1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
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City | FORT EUSTIS |
Zip Code | 23604 |
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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.