WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT (NPI# 1124197017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124197017 |
| Entity Type | Organization |
| Organization Name | WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT |
| Practice Address |
4th St Innerloop Usa Meddac Fort Irwin CA 92310-5109 |
| Mailing Address |
Po Box 105109 Fort Irwin CA 92310-5109 |
| Practice Telephone | 7603803144 |
| Mailing Telephone | 7603803144 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM JAMES PRIDGEN (NCOIC LPN WAEDMASTER) |
| Authorized Official Telephone | 7603803144 |
| Authorized Official Credential | LPN EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | LP00045663 | WA | Hospitals |
| Street Address |
4TH ST INNERLOOP USA MEDDAC |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310-5109 |
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881624575 | Elsie Pearl Ursua Dy | Military Hospital | 5239a Prospect Ct, Fort Irwin, CA 92310-2105 | 2006-07-05 |
| 1720018757 | Meddac-wach | Military Hospital | 5092 Superior Valley Ct # B, Fort Irwin, CA 92310-2046 | 2006-07-04 |
| 1114975513 | Weed Army Community Hospital | Military Hospital | Building 170, Fort Irwin, CA 92310 | 2006-05-05 |
| 1669420576 | Weed Army Community Hospital | Military Hospital | 4th & Inner Loop, Fort Irwin, CA 92310 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
| 1831563535 | Dfas-cl/jflp | Military Hospital | Mpmd 01c, Box 555191, Camp Pendleton, CA 92055-5191 | 2015-11-18 |
| 1851707418 | Hand of Passion | Military Hospital | 2112 Century Park Ln Unit 218, Century City, CA 90067-3314 | 2014-07-03 |
| 1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
| 1427302017 | Department of Va | Military Hospital | 1585 Trailwood Ave, Chula Vista, CA 91913-2994 | 2012-11-03 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1962770990 | Alma Irene Blackman | Military Hospital | 9119 Jamacha Rd, 149, Spring Valley, CA 91977-4162 | 2011-12-05 |
| 1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
Please comment or provide details below to improve the information on WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT.
| 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.