WEED ARMY COMMUNITY HOSPITAL (NPI# 1154465748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154465748 |
Entity Type | Organization |
Organization Name | WEED ARMY COMMUNITY HOSPITAL |
Practice Address |
Building 166 Third Street Fort Irwin CA 92310 |
Mailing Address |
2301 Muriel Dr #15 Barstow CA 92311-6739 |
Practice Telephone | 7603803144 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOAN FRISONE (CREDENTIALS COORDINATOR) |
Authorized Official Telephone | 7603805388 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
RN00165860 | WA | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083028989 | Weed Army Community Hospital | Clinic/Center | Bldg 189 Ave B, Fort Irwin, CA 92310 | 2014-06-18 |
1891109799 | Weed Army Community Hospital | Clinic/Center | Ave B Bldg R190, Warrior Care Center, Fort Irwin, CA 92310 | 2014-06-18 |
1467864090 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 301 C St Bldg 990, Us Army Health Clinic,yuma Proving Ground, Ypg, AZ 85365-9498 | 2014-06-02 |
1780968321 | Weed Army Community Hospital | Clinic/Center | Building 295 Avenue B, Fort Irwin, CA 92310 | 2011-09-30 |
1689870859 | Weed Army Community Hospital | Clinic/Center | 3rd St and G St, Bldg 478, Fort Irwin, CA 92310 | 2007-06-25 |
1235335407 | Weed Army Community Hospital | Clinic/Center | 4th St and Interloop, Bldg 171, Fort Irwin, CA 92310 | 2007-06-25 |
1194931683 | Weed Army Community Hospital | Clinic/Center | Inner Loop Bldg 170, Fort Irwin, CA 92310 | 2007-05-14 |
1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
1396844338 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 990, Yuma, AZ 85365 | 2006-09-22 |
1164521118 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 170 Rm 207, Ft Irwin, CA 92310 | 2006-09-22 |
Street Address |
BUILDING 166 THIRD STREET |
City | FORT IRWIN |
State | CA |
Zip Code | 92310 |
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 | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497842074 | Ospweed Armycommunity | Skilled Nursing Facility | 5220b Silver Mine Way, Fort Irwin, CA 92310-2103 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
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1700499746 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 4165 Brittany Dr, Redding, CA 96002-5102 | 2020-08-28 |
1023551264 | Eden Care Center | Skilled Nursing Facility | 7616 Pacific Blvd, Huntington Park, CA 90255-6026 | 2016-11-21 |
1740736198 | Corwin Kids Healthcare Inc | Skilled Nursing Facility | 18747 Corwin Rd, Apple Valley, CA 92307-2303 | 2016-08-26 |
1073914412 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 1350 Teal Hollow Dr, Yuba City, CA 95993-8885 | 2014-09-04 |
1669886230 | Centennial Healthcare LLC | Skilled Nursing Facility | 7504 Capps Ave, Reseda, CA 91335-2710 | 2014-06-11 |
1851660682 | George Nobuhiko Tobo | Skilled Nursing Facility | 16423 Harbor Blvd, Fountain Valley, CA 92708-1367 | 2011-12-22 |
1427348424 | Bridge 2 Life Healthcare, Inc. | Skilled Nursing Facility | 1331 Addison Way, Perris, CA 92571-3878 | 2011-04-11 |
1033417167 | Wee Hearts | Skilled Nursing Facility | 10049 Magnolia Blvd, 539, N Hollywood, CA 91606 | 2011-03-15 |
1720300783 | Kidz Kingdom Pdhc | Skilled Nursing Facility | 13022 Sherman Way, North Hollywood, CA 91605-4955 | 2010-02-18 |
1285884411 | Twins Services and Training Center | Skilled Nursing Facility | 22910 Teil Glen Rd, Wildomar, CA 92595-8099 | 2008-09-24 |
Find all providers with the same taxonomy |
City | FORT IRWIN |
Zip Code | 92310 |
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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.