TRIPLER ARMY MEDICAL CENTER (NPI# 1114230109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114230109 |
| Entity Type | Organization |
| Organization Name | TRIPLER ARMY MEDICAL CENTER |
| Other Organization Name | WARRIOR OHANA MEDICAL HOME-SHAFTER |
| Practice Address |
91-1010 Shangrila St Suite 100 Kapolei HI 96707-2161 |
| Mailing Address |
1 Jarrett White Rd Attn Pad Mchk-pat-t - Uniform Business Office Tripler Army Medical Center HI 96859-5001 |
| Practice Telephone | 8084333418 |
| Mailing Telephone | 8084336103 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | HUGH KEEL (PRMC UBO) |
| Authorized Official Telephone | 8084331016 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIPLER ARMY MEDICAL CENTER |
| 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 BILLING NPI | 1831146281 | 01 |
| Other Name | Type Code |
|---|---|
| Warrior Ohana Medical Home-Shafter | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1841408598 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 682, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1427157056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1245628056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2014-12-31 |
| 1972919348 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2014-07-07 |
| 1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
| 1902218423 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2014-06-02 |
| 1588944821 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2011-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIPLER ARMY MEDICAL CENTER | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 |
| Street Address |
91-1010 SHANGRILA ST SUITE 100 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235436726 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2011-02-17 |
| 1508169442 | Mara H K Hoe | Psychologist | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| 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 |
|---|---|---|---|---|
| 1750548277 | Uscg Air Station Barbers Point | Clinic/Center | 1 Coral Sea St, Kapolei, HI 96707-3693 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1841408598 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 682, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1275518805 | Spectrum Healthcare Resources | Clinic/Center | 98-340 Koauka Loop, Apt.124, Aiea, HI 96701-4443 | 2005-12-06 |
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1992953897 | Tripler Army Medical Center | Clinic/Center | 1 Jarrett White Rd, Na Koa Dental Clinic Bldg 678, Tripler Army Medical Center, HI 96859-5001 | 2008-09-04 |
| 1275781171 | Tripler Army Medical Center | Clinic/Center | 1 Jarrett White Rd, Honolulu, HI 96859 | 2008-09-04 |
| 1457550204 | Branch Medical Clinic Kaneohe | Clinic/Center | 480 Central Ave, Attn: Bhc Kaneohe Hawaii, Pearl Harbor, HI 96860-4908 | 2007-07-12 |
| 1073712824 | Branch Medical Clinic Camp Smith Medical Annex | Clinic/Center | 480 Central Ave, Code 02, Pearl Harbor, HI 96860-4908 | 2007-07-12 |
| 1740489590 | Branch Medical Clinic Annex Wahiawa | Clinic/Center | 480 Central Ave, Branch Medical Clinic Annex Wahiawa, Pearl Harbor, HI 96860 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
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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.