KELLER ARMY COMMUNITY HOSPITAL (NPI# 1225243140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225243140 |
| Entity Type | Organization |
| Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Other Organization Name | NATICK AHC |
| Practice Address |
42 Kansas St Soldier Service Center Natick MA 01760-2642 |
| Mailing Address |
900 Washington Rd Attn: Mcud-rmd-ubo West Point NY 10996-1197 |
| Practice Telephone | 8005522907 |
| Mailing Telephone | 8459388239 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | KENNETH TUFFY (UBO MANAGER) |
| Authorized Official Telephone | 8459388239 |
| Is Organization Subpart | Y |
| Parent Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| 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 FACILITY NPI | 1528161916 | 01 |
| Other Name | Type Code |
|---|---|
| NATICK AHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1861898942 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 114 White Ave, Brooklyn, NY 11252-9503 | 2014-11-17 |
| Street Address |
42 KANSAS ST SOLDIER SERVICE CENTER |
| City | NATICK |
| State | MA |
| Zip Code | 01760-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235209966 | Teresa Lucente Brininger | Military Health Care Provider | 42 Kansas St, Natick, MA 01760-2642 | 2006-11-09 |
| 1336293554 | Holly Lehmann Mcclung | Dietitian, Registered | 42 Kansas St, Us Army Research Institute of Environmental Medicine, Natick, MA 01760-2642 | 2007-01-23 |
| 1245383777 | Tracey J Smith | Dietitian, Registered | 42 Kansas St, Usariem- Military Nutrition Division, Natick, MA 01760-2642 | 2007-01-19 |
| 1588713960 | James Philip Karl | Dietitian, Registered | 42 Kansas St, Bldng 30, Natick, MA 01760-2642 | 2007-01-09 |
| 1285795187 | Gaston Phillip Bathalon | Dietitian, Registered | 42 Kansas St, Natick, MA 01760-2642 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
| 1366927469 | Edith Siegel Wolfson | Social Worker | 2 Stagg Drive, Natick, MA 01760 | 2018-09-25 |
| 1447772801 | Soraia L Pinto | Registered Nurse | 10 Alden Street, Natick, MA 01760 | 2017-07-07 |
| 1003336264 | Aurora Counseling Associates | Counselor | 20 Main St. Suite 202, Natick, MA 01760 | 2017-06-20 |
| 1548790140 | Sally Miner Heerde | Speech-Language Pathologist | 38 Fairway Circle, Natick, MA 01760 | 2017-06-15 |
| 1962937516 | Michaela Rice | Behavior Technician | 841 Worcester Road, 102, Natick, MA 01760 | 2017-04-20 |
| 1831545375 | Nadia Nina Sayess | Counselor | 17 Morgan Drive, Apt 105, Natick, MA 01760 | 2016-05-13 |
| 1114398468 | Ruvarashe Swiswa | Social Worker | 251 W Central St Ste 25, Natick, MA 01760 | 2015-10-13 |
| 1669897153 | Simon Medical Service | Durable Medical Equipment & Medical Supplies | 16 Tech Circle, Natick, MA 01760 | 2014-02-20 |
| 1639418965 | Cfo Retail Services, LLC | Eyewear Supplier (Equipment, not the service) | 1245 Worcester Road, Natick Mall, Natick, MA 01760 | 2013-02-06 |
| Find all providers in zip 01760 | ||||
| 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 |
|---|---|---|---|---|
| 1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
| 1578648093 | Uscg Isc Boston | Clinic/Center | 427 Commercial Street, Boston, MA 02109 | 2006-10-25 |
| 1093835977 | Us Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2007-04-02 |
Please comment or provide details below to improve the information on KELLER ARMY COMMUNITY HOSPITAL.
| 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.