REYNOLDS ARMY COMMUNITY HOSPITAL (NPI# 1194824458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194824458 |
Entity Type | Organization |
Organization Name | REYNOLDS ARMY COMMUNITY HOSPITAL |
Other Organization Name | SILL MAIN OP PHCY |
Practice Address |
Reynolds Comm Hosp Dept of Phcy 4300 Thomas St Bldg 4300 Ft Sill OK 73503 |
Mailing Address |
3009 N Wilson Rd Attn Mcua-pad-pf 4300 Thomas St Bldg 4300 Ft Sill OK 73503-9042 |
Practice Telephone | 5804582300 |
Practice Fax Number | 5804582445 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2016-01-20 |
Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
Authorized Official Telephone | 2105366650 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332000000X | Military/U.S. Coast Guard Pharmacy | 34540 | OK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2076246 | 01 |
Other Name | Type Code |
---|---|
SILL MAIN OP PHCY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912377649 | Reynolds Army Community Hospital | Clinic/Center | 3161 Hoskins Rd, Fort Sill, OK 73503-4462 | 2015-10-07 |
1740650464 | Reynolds Army Community Hospital | Clinic/Center | 3445 Koehler Loop, Fort Sill, OK 73503-6008 | 2015-10-07 |
1932480068 | Reynolds Army Community Hospital | Clinic/Center | 2640 Miner Rd, Fort Sill, OK 73503 | 2011-09-02 |
1457654766 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Custer Road, Bldg 2913, Fort Sill, OK 73503 | 2010-12-08 |
1427208008 | Reynolds Army Community Hospital | Clinic/Center | 2913 Craig Road, Fort Sill, OK 73503 | 2008-09-19 |
1760688220 | Reynolds Army Community Hospital | Clinic/Center | 2862 Craig Road, Fort Sill, OK 73503 | 2007-06-22 |
1881890358 | Reynolds Army Community Hospital | Clinic/Center | 605 Randolph Road, Fort Sill, OK 73503 | 2007-06-22 |
1699971143 | Reynolds Army Community Hospital | Clinic/Center | 6037 Bessinger Street, Fort Sill, OK 73503 | 2007-06-22 |
1023117066 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 10020 Kabrich Cir, Pine Bluff, AR 71602-9031 | 2006-09-22 |
1831298017 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Macomb Rd Bldg 1719, Ft Sill, OK 73503 | 2006-09-22 |
Street Address |
REYNOLDS COMM HOSP DEPT OF PHCY 4300 THOMAS ST BLDG 4300 |
City | FT SILL |
State | OK |
Zip Code | 73503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
Find all providers in zip 73503 |
Taxonomy Code | 332000000X |
Grouping | Suppliers |
Classification | Military/U.S. Coast Guard Pharmacy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831298017 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Macomb Rd Bldg 1719, Ft Sill, OK 73503 | 2006-09-22 |
1740389923 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Thomas Rd Bldg 6043 Tmc2, Ft Sill, OK 73503 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457654766 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Custer Road, Bldg 2913, Fort Sill, OK 73503 | 2010-12-08 |
1982703245 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Us Army Health Clinic Aar Mcalester, Ic Tree Road, Mcalester, OK 74301-5000 | 2006-09-22 |
1245337096 | 72 Nd Medical Group | Military/U.S. Coast Guard Pharmacy | 5700 Arnold St Bldg 5801, Tinker Afb, OK 73145-8105 | 2006-09-20 |
1801871371 | 72d Medical Group | Military/U.S. Coast Guard Pharmacy | 5700 Arnold St., Tinker Afb, OK 73145-8012 | 2005-12-07 |
1962818336 | 71 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-07 |
1568877702 | Department of The Air Force 72d Medical Group | Military/U.S. Coast Guard Pharmacy | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2014-06-26 |
1225442056 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4301 Wilson St, Reynolds Army Community Hospital, Fort Sill, OK 73503-4472 | 2014-06-19 |
1912200221 | Renolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2010-12-08 |
1710086079 | 71th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2006-09-22 |
1093782880 | 97th Medical Group | Military/U.S. Coast Guard Pharmacy | 301 N 1st St, Bldg 46, Altus Afb, OK 73523-5004 | 2006-03-01 |
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.