DEWITT ARMY COMMUNITY HOSPITAL (NPI# 1285609800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285609800 |
Entity Type | Organization |
Organization Name | DEWITT ARMY COMMUNITY HOSPITAL |
Practice Address |
9501 Farrell Rd Fort Belvoir VA 22060-5901 |
Mailing Address |
6600 Comet Cir Apt 305 Springfield VA 22150-4533 |
Practice Telephone | 7038050596 |
Mailing Telephone | 7038229992 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. BARBARA ANN MAHONEY (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 7038050956 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
RN044529 | LA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588711626 | Dewitt Army Community Hospital | Nursing Facility/Intermediate Care Facility | 13605 Bottner Ct, Woodbridge, VA 22191-1900 | 2007-01-04 |
1578662615 | Dewitt Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Tmc Bldg 215, Camp Dawson, WV 26537 | 2006-09-22 |
1407830797 | Dewitt Army Community Hospital | Military Hospital | 13226 Hawthorn Ln, Woodbridge, VA 22193-5161 | 2005-12-01 |
1447783378 | Dewitt Army Community Hospital | Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2017-04-07 |
1356874283 | Dewitt Army Community Hospital | Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2017-04-07 |
1235386418 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Emergency Department, Fort Belvoir, VA 22060-5901 | 2008-08-19 |
1467519983 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2007-01-03 |
1104983436 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2007-01-03 |
1366427643 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-12-09 |
Street Address |
9501 FARRELL RD |
City | FORT BELVOIR |
State | VA |
Zip Code | 22060-5901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134127145 | Bonnie L. Breneman | Nurse Practitioner | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-07-13 |
1821428806 | Samantha Rigby | Dietitian, Registered | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2013-11-12 |
1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
1093089757 | Ft Belvoir Hospital Outpatient Pharmacy | General Acute Care Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-28 |
1073886917 | Syed H Akhtar | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-22 |
1104199231 | Tiffany Limerick | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-21 |
1700159936 | Mary N Tabot | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-19 |
1033482534 | Sanh Dan Trieu | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
1710250212 | Thao Phuong Dinh | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
Find all providers in zip 22060 |
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 |
---|---|---|---|---|
1396026423 | Fort Belvoir Community Hospital | Clinic/Center | 9300 Dewitt Loop, Dental Clinic, Fort Belvoir, VA 22060 | 2011-09-02 |
1558566216 | Kimbrough Acc Military Mtf | Clinic/Center | 9515 Hall Rd, Building 1099, Fort Belvoir, VA 22060-5529 | 2007-06-20 |
1265505747 | Fort Belvoir Community Hospital | Clinic/Center | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5901 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215218342 | Kenner Army Health Clinic | Clinic/Center | 8204 Ave C, Fort Lee, VA 23801-1716 | 2011-09-02 |
1801043252 | Kenner Ahc | Clinic/Center | 14115 Montague Rd, Fort A P Hill, VA 22427-3115 | 2008-08-27 |
1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
1821281908 | Branch Medical Clinic Ocs Brown Field | Clinic/Center | 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 | 2007-08-22 |
1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
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City | FORT BELVOIR |
Zip Code | 22060 |
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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.