FORT BELVOIR COMMUNITY HOSPITAL (NPI# 1396026423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396026423 |
Entity Type | Organization |
Organization Name | FORT BELVOIR COMMUNITY HOSPITAL |
Other Organization Name | USADC FT. BELVOIR FBCH |
Practice Address |
9300 Dewitt Loop Dental Clinic Fort Belvoir VA 22060 |
Mailing Address |
9300 Dewitt Loop Attn Tpcp Fort Belvoir VA 22060 |
Practice Telephone | 5712313224 |
Mailing Telephone | 5712312856 |
Enumeration Date | 2011-09-02 |
Last Update Date | 2012-12-20 |
Authorized Official Name | OSCAR HARTLEY (UBO MANAGER) |
Authorized Official Telephone | 5712312866 |
Is Organization Subpart | Y |
Parent Organization Name | FORT BELVOIR 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 |
Other Name | Type Code |
---|---|
USADC FT. BELVOIR FBCH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437563269 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 | 2014-06-19 |
1316044175 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-09-20 |
1194122564 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2014-12-01 |
1023415825 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2014-11-24 |
1134532930 | Fort Belvoir Community Hospital | Military Hospital | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2014-06-09 |
1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
1376758193 | Fort Belvoir Community Hospital | Clinic/Center | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2007-05-14 |
1285849000 | Fort Belvoir Community Hospital | Clinic/Center | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2007-05-14 |
1780746776 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 2740 Prosperity Ave, Fairfax, VA 22031 | 2006-12-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FORT BELVOIR COMMUNITY HOSPITAL | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 |
Street Address |
9300 DEWITT LOOP DENTAL CLINIC |
City | FORT BELVOIR |
State | VA |
Zip Code | 22060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548261597 | Christopher A Kurtz | Orthopaedic Surgery | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2005-08-02 |
1174120935 | Lakisha M Williams | Nurse Practitioner | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-10-05 |
1013535392 | Payton Cline | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-07-13 |
1275159055 | Lisa Frances Umpa | Nurse Practitioner | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-17 |
1609491810 | Catherine Mary Foley | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-12 |
1114542420 | Nicole Westphal | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-11 |
1689299240 | David Hess Dacosta | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-10 |
1730704446 | Carly Alexa Epstein | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-09 |
1821612771 | Chase Bierly Weber | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-05 |
1437773603 | Varun Kumar Menon | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-03 |
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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 |
---|---|---|---|---|
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 |
1285609800 | Dewitt Army Community Hospital | Clinic/Center | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2006-02-17 |
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.