NAVAL HEALTH CLINIC ANNAPOLIS


Address: 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640-5162
Phone: 3017444904

NAVAL HEALTH CLINIC ANNAPOLIS (NPI# 1184273195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184273195
Entity Type Organization
Organization Name NAVAL HEALTH CLINIC ANNAPOLIS
Other Organization Name DOD INDIAN HEAD EPHCY
Practice Address 4141 W Wilson Rd Bldg 1600
Indian Head
MD 20640-5162
Practice Telephone 3017444904
Practice Fax Number 3017444361
Mailing Telephone 3017444904
Mailing Fax Number 3017444361
Enumeration Date 2019-09-11
Last Update Date 2019-09-23
Authorized Official Name ROSEMARY GONZALEZ (MTF SUPPORT ANALYST)
Authorized Official Telephone 2105366096
Is Organization Subpart Y
Parent Organization Name NAVAL HEALTH CLINIC ANNAPOLIS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
DoD INDIAN HEAD ePhcy Doing Business As Name - Organization
DoD INDIANHEAD ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174172183 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 2019-09-11
1801339866 Naval Health Clinic Annapolis Pharmacy 101 Blake Rd, Annapolis, MD 21402-1300 2016-11-23
1346349792 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 2006-09-22
1649682162 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 2014-06-02
1942309364 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 250 Wood Rd, Annapolis, MD 21402-1257 2006-09-22
1528013414 Naval Health Clinic Annapolis Clinic/Center 250 Wood Rd, Annapolis, MD 21402-1257 2006-05-23

Office Location

Street Address 4141 W WILSON RD BLDG 1600
City INDIAN HEAD
State MD
Zip Code 20640-5162

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639664683 The Heard Group, LLC Clinic/Center 6284 Hard Bargain Cir, Indian Head, MD 20640 2018-06-22
1154790509 Memuna Kamara Nurse Practitioner 319 Munahan Circle Unit A, Indian Head, MD 20640 2015-09-16
1174620926 Naval Health Clinic Patuxent River Military/U.S. Coast Guard Pharmacy Bldg 1600 Wilson Drive, Indian Head, MD 20640 2006-09-20
1861494395 Dale R Harman Preventive Medicine 1600 W Wilson Rd, Occupational Health Clinic, Nswc Indian Head, Indian Head, MD 20640-1400 2005-08-15
1467414508 Keith Lynn Mayberry Dentist 1600 W Wilson Rd, Indian Head, MD 20640-1400 2006-04-04
1588646962 John H Callahan Physician Assistant 17 Strauss Ave, Indian Head Division, Indian Head, MD 20640-1523 2005-11-18
1114064573 Monica L Bilik Physician Assistant 101 Strauss Ave Bldg 901, Indian Head, MD 20640-1542 2007-02-01
1881654697 Kevin F Kelley Sr. Physician Assistant 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 2006-03-24
1750561189 Dexter Arvange Woods Dentist 158 Riverwatch Dr, Indian Head, MD 20640-1558 2007-11-14
1649818907 Augustina O Boadu Non-emergency Medical Transport (VAN) 32 Fairhill Ln, Indian Head, MD 20640-1577 2019-12-18
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174620926 Naval Health Clinic Patuxent River Military/U.S. Coast Guard Pharmacy Bldg 1600 Wilson Drive, Indian Head, MD 20640 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548868870 Walter Reed National Military Medical Center Military/U.S. Coast Guard Pharmacy 101 Buchanan Rd, Annapolis, MD 21402-5107 2020-10-09
1063763241 National Naval Medical Center Military/U.S. Coast Guard Pharmacy 8901 Wisconsin Ave Dept Ofphcy, Bldg 9, Room 2303, Bethesda, MD 20889-0001 2012-09-27
1902905318 Naval Health Clinic Patuxent River Military/U.S. Coast Guard Pharmacy Bldg 1370, Patuxent River, MD 20670 2006-09-22
1679672083 Dunham Army Health Clinic Military/U.S. Coast Guard Pharmacy 1452 Porter St, Ft Detrick, MD 21702 2006-09-22
1851490270 Malcom Grow Medical Center 79 Mdg Mdss Sgsr Military/U.S. Coast Guard Pharmacy 1050 W Perimeter Rd # D1119, Jb Andrews, MD 20762-6601 2006-09-22
1265539019 Malcom Grow Medical Center 79 Mdg Mdss Sgsr Military/U.S. Coast Guard Pharmacy 1 San Diego Loop Bldg 3188, Jb Andrews, MD 20762-5518 2006-09-20
1205242310 Kimbrough Acc Military Mtf Military/U.S. Coast Guard Pharmacy 1434 Porter St, Frederick, MD 21702-9254 2014-07-09
1649682162 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 2014-06-02
1518379395 Malcolm Grow Medical Clinic 779 Mdg Military/U.S. Coast Guard Pharmacy 1060 W Perimeter Rd, Joint Base Andrews, MD 20762-6602 2014-05-28
1417369299 Kimbrough Acc Military Mtf Military/U.S. Coast Guard Pharmacy Kirk U.S. Army Health Clinic, Bldg. 2501 Oakington Street, Aberdeen Proving Ground, MD 21005-5163 2014-05-28
Find all providers with the same taxonomy

Competitor

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City INDIAN HEAD
Zip Code 20640

Improve Information

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Dataset Information

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.

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