BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL (NPI# 1376612499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376612499 |
| Entity Type | Organization |
| Organization Name | BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL |
| Other Organization Name | CAMP CARROL PHCY |
| Practice Address |
Bldg 263 Apo AP 96260-0275 |
| Mailing Address |
Unit 15244 Box 316 Attn Ubo Apo Ap Apo AP 96205-5244 |
| Practice Telephone | 3157377432 |
| Mailing Telephone | 2102218274 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-06-05 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2113990 | 01 |
| Other Name | Type Code |
|---|---|
| CAMP CARROL PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457592776 | Brian Allgood Army Community Hospital | Military Hospital | Hhc, 121 Csh, Bx 82, Apo, AP 96205-0000 | 2009-03-17 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1881763902 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 807, Apo, AP 96224-0351 | 2006-11-06 |
| 1033288238 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg S555, Apo, AP 96271-0126 | 2006-11-06 |
| 1831289487 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 1663, Apo, AP 96205-0644 | 2006-10-13 |
| Street Address |
BLDG 263 |
| City | APO |
| State | AP |
| Zip Code | 96260-0275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491984 | Aaron Vanderburg | Physician Assistant | Bldg S180 American Ave, Apo, AP 96260 | 2017-04-12 |
| 1619365327 | Gabriel Valdez | Physician Assistant | Camp Carroll Medical Clinic, Unit 15375, Apo, AP 96260 | 2015-01-05 |
| 1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
| 1063618148 | 121st Csh/baach | Clinic/Center | Unit 15662, Bldg S137, Apo, AP 96260 | 2007-06-25 |
| 1851679369 | Jun Sung Hong | Dentist | 618th Dental Company (as), Camp Carroll Dental Clinic, Apo, AP 96260 | 2011-08-01 |
| 1396304846 | Danielle Sprunger | Dietitian, Registered | Unit 15375, Apo, AP 96260-5375 | 2019-06-09 |
| 1700326493 | Matthew Perdue | Physician Assistant | Hhc 2id Sbde, Unit 15476, Apo, AP 96260-5476 | 2017-03-01 |
| 1306371273 | Kyle Piecora | Psychologist | Hhc 2id Sbde, Unit 15476, Box #131, Apo, AP 96260-5476 | 2017-04-27 |
| 1881667053 | Risa Maree Record | Dentist | 618 Dental Company (as), Unit #15662 Bldg. S137 Texas Avenue, Camp Carroll, APO AP 96260-5662 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| 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 |
|---|---|---|---|---|
| 1265756316 | 86th Mdss Sgsap | Military/U.S. Coast Guard Pharmacy | Bldg 2114 86th Mdss Sgsap Unit 3215, Apo, AE 09094-3214 | 2010-03-18 |
| 1013163088 | Bagram Btif | Military/U.S. Coast Guard Pharmacy | 724th Mp Bn/tf Bulldog, Disney Drive Bldg 365, Apo, AE 09354 | 2008-08-11 |
| 1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
| 1376617506 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Attn Pad, Apo, AE 09042 | 2006-11-20 |
| 1972672004 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 406, Apo, AE 09110 | 2006-11-06 |
| 1417036633 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 418, Apo, AE 09058 | 2006-11-06 |
| 1316016496 | 31st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 121, Aviano Ab Italy, Apo, AE 09604-0245 | 2006-11-06 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1659440725 | U.S. Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 405, Avenue C, Apo, AP 96264 | 2006-11-06 |
| 1881763902 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 807, Apo, AP 96224-0351 | 2006-11-06 |
| Find all providers in APO | ||||
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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.