WEED ARMY COMMUNITY HOSPITAL (NPI# 1396844338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396844338 |
| Entity Type | Organization |
| Organization Name | WEED ARMY COMMUNITY HOSPITAL |
| Other Organization Name | YUMA PROVING GROUNDS PHCY |
| Practice Address |
Bldg 990 Yuma AZ 85365 |
| Practice Telephone | 9283282345 |
| Practice Fax Number | 5203282143 |
| Mailing Telephone | 9283282345 |
| Mailing Fax Number | 5203282143 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-01-28 |
| 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 | 1990499 | 01 |
| Other Name | Type Code |
|---|---|
| YUMA PROVING GROUNDS PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083028989 | Weed Army Community Hospital | Clinic/Center | Bldg 189 Ave B, Fort Irwin, CA 92310 | 2014-06-18 |
| 1891109799 | Weed Army Community Hospital | Clinic/Center | Ave B Bldg R190, Warrior Care Center, Fort Irwin, CA 92310 | 2014-06-18 |
| 1467864090 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 301 C St Bldg 990, Us Army Health Clinic,yuma Proving Ground, Ypg, AZ 85365-9498 | 2014-06-02 |
| 1780968321 | Weed Army Community Hospital | Clinic/Center | Building 295 Avenue B, Fort Irwin, CA 92310 | 2011-09-30 |
| 1689870859 | Weed Army Community Hospital | Clinic/Center | 3rd St and G St, Bldg 478, Fort Irwin, CA 92310 | 2007-06-25 |
| 1235335407 | Weed Army Community Hospital | Clinic/Center | 4th St and Interloop, Bldg 171, Fort Irwin, CA 92310 | 2007-06-25 |
| 1194931683 | Weed Army Community Hospital | Clinic/Center | Inner Loop Bldg 170, Fort Irwin, CA 92310 | 2007-05-14 |
| 1154465748 | Weed Army Community Hospital | Skilled Nursing Facility | Building 166 Third Street, Fort Irwin, CA 92310 | 2007-02-16 |
| 1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
| 1164521118 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 170 Rm 207, Ft Irwin, CA 92310 | 2006-09-22 |
| Street Address |
BLDG 990 |
| City | YUMA |
| State | AZ |
| Zip Code | 85365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369730 | Green Mountain Wellness | Acupuncturist | 1059 N College Avenue, Po, Thatcher, AZ 85365 | 2020-09-03 |
| 1326695545 | Lifecare Pharmacy Yuma LLC | Pharmacy | 2514 South Ave A, Suite 2, Yuma, AZ 85365 | 2019-08-22 |
| 1205492162 | Deborah Woodard-williams | Dentist | Arizona State Prison Complex-yuma, 7125 Juan Sanchez Blvd, Yuma, AZ 85365 | 2019-05-16 |
| 1467973974 | Alejandra Ruiz Pureco | Specialist/Technologist | 4039 Scedar Avenue, Yuma, AZ 85365 | 2017-07-06 |
| 1003298571 | Evan Jonathan Wilson | Military Health Care Provider | 2989 East Arow St, Yuma, AZ 85365 | 2015-06-22 |
| 1578901385 | Robert Field | General Practice | Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 | 2013-06-13 |
| 1821381286 | Jason T. Lemmon Dds, P.C. | Dentist | 3325 S. Ave 8.e., Suite 4, Yuma, AZ 85365 | 2011-05-18 |
| 1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
| 1871752352 | Jason Thomas Lemmon | Dentist | 3325 S. Ave 8e, Suite 4, Yuma, AZ 85365 | 2008-06-09 |
| 1619149143 | Amber Grace Tagg | Occupational Therapist | 10067 South Ave., 10e #46, Yuma, AZ 85365 | 2008-03-25 |
| Find all providers in zip 85365 | ||||
| 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 |
|---|---|---|---|---|
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1972693208 | Yuma Flas Phcy | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 1175, Yuma, AZ 85369-9116 | 2006-10-16 |
| 1427148758 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2006-10-16 |
| 1699162339 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391156 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2240 Winrow Rd Bldg 45001, Raymond W. Bliss Army Health Center, Fort Huachuca, AZ 85613-5080 | 2014-06-13 |
| 1467864090 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 301 C St Bldg 990, Us Army Health Clinic,yuma Proving Ground, Ypg, AZ 85365-9498 | 2014-06-02 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
| 1205935244 | 355th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 2714 Bola Ave, Tucson, AZ 85707 | 2006-09-22 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1043627631 | 56th Medical Group | Military/U.S. Coast Guard Pharmacy | 7219 N Litchfield Rd Bldg 1130, Luke Afb, AZ 85309-1529 | 2014-07-16 |
| 1366856155 | 355th Medical Group-davis Monthan Afb Hospital | Military/U.S. Coast Guard Pharmacy | 5405 E Granite St, Bldg # 2527 Room # 127, Davis Monthan Afb, AZ 85707-3004 | 2014-06-19 |
| 1093814154 | 355th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 4175 S Alamo Ave, Davismonthan Afb, Tucson, AZ 85707-4402 | 2006-09-22 |
| 1417056458 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2006-09-22 |
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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.