BRANCH MEDICAL CLINIC IWAKUNI (NPI# 1306046727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306046727 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC IWAKUNI |
| Practice Address |
Psc 561 Box 1877 Fpo AP 96310 JP |
| Practice Telephone | 01181468168574 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL YOKOSUKA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| Street Address |
PSC 561 BOX 1877 |
| City | FPO |
| State | AP |
| Zip Code | 96310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763712 | Meghan Joy Cregan | Family Medicine | Psc 561 Box 1877, Fpo, AP 96310 | 2006-01-09 |
| 1164895322 | Matthew Alexander Oldham | Military Health Care Provider | Psc 561 Box 1877, Bldg #111, Fpo, AP 96310-0019 | 2015-11-09 |
| 1780008193 | Heather Babcock | Social Worker | Psc 561 Box 1877, Fpo, AP 96310-0016 | 2014-02-06 |
| 1255688081 | Laura Stephenson | Audiologist | Psc 561 Box 1877, Fpo, AP 96310-0019 | 2012-08-10 |
| 1578821120 | Barbara Charlotte Bentley | Social Worker | Psc 561 Box 1877, Fpo, AP 96310-0019 | 2012-05-01 |
| 1043281132 | Holly Eun Hee Gangwer | Speech-Language Pathologist | Psc 561 Box 1877, Fpo, AP 96310 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902469166 | Paige Larae Millman | Speech-Language Pathologist | 242-a Cabot Circle, Mcas Iwakuni, Fpo, AP 96310 | 2019-04-15 |
| 1477028801 | Lawrence D Leduff IIi | Nurse Practitioner | Navy Family Branch Clinic Iwakuni, Building 110, Fpo, AP 96310 | 2018-10-12 |
| 1467882217 | Michelle Hall | Nurse Practitioner | Branch Health Clinic Iwakuni Japan, Psc 561, Box 1877, Fpo, AP 96310 | 2013-11-14 |
| 1053640177 | Timothy E Harmon | Physician Assistant | Navy Branch Health Clinic Iwakuni Japan, Psc 561 Box 1877, Iwakuni, JAPAN 96310 | 2009-12-19 |
| 1518105832 | Walter John Kelly Jr. | Social Worker | Psc 561 Box 1328, Fpo, AP 96310 | 2009-01-23 |
| 1265614069 | Jeramy D Sawyers | Physician Assistant | Marine Corps Air Station Iwakuni, Japan, Branch Health Clinic, Fpo, AP 96310 | 2007-12-04 |
| 1952433245 | Pamela L Keup | Speech-Language Pathologist | Psc 561 Box 1546, Fpo, AP 96310 | 2007-03-12 |
| 1215905369 | Joven Marquez Zano | Military Health Care Provider | Psc 561 Box 1001, Fpo Ap 96310, Iwakuni, YAMAGUCHI 96310 | 2006-03-14 |
| 1104802776 | Daniel Houlihan | Occupational Therapist | Branch Medical Clinic / Edis, Psc 561 Box 1877, Fpo, AP 96310 | 2005-12-15 |
| 1154306041 | Phillip James Hanson | Physical Therapist | Psc 561 Box 1447, Fpo, AP 96310 | 2005-12-13 |
| Find all providers in zip 96310 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699713487 | Naval Hospital Naples | Military Hospital | Psc 808 Box 19, Fpo, AE 09618-0001 | 2006-06-03 |
| 1518912823 | Naval Hospital Guantanamo Bay | Military Hospital | Usnh Commanding Office, Patient Accounts, Fpo, AE 09589 | 2006-05-24 |
| 1912956558 | Naval Hospital Yokosuka | Military Hospital | Psc 475 Box 1, Code 081, Drm/ubo, Fpo, AP 96350 | 2006-05-10 |
| 1396729067 | Ronald T Purcell | Military Hospital | Usnh Yokosuka Japan, Pcs 475 Box 1, Fpo, AP 96350 | 2005-12-05 |
| 1144269564 | Naval Hospital Okinawa | Military Hospital | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2006-06-05 |
| 1780623108 | Naval Hospital Rota | Military Hospital | Psc 819 Box 18, Fpo, AE 09645-0018 | 2006-06-05 |
| 1316986730 | Naval Hospital Sigonella | Military Hospital | Psc 836, Box 2670, Fpo, AE 09636-9998 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417287368 | 121st General Hospital(brain Allgood Army Community Hospital) | Military Hospital | Unit 15549 Box 59, Apo, AP 96205-5549 | 2009-12-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1629066642 | 18thmedcom | Military Hospital | 121general Hospital, Box709, Apo, AP 96205 | 2005-10-12 |
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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.