NAVAL HOSPITAL CAMP PENDLETON (NPI# 1427148758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427148758 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL CAMP PENDLETON |
| Other Organization Name | YUMA MAIN PHCY |
| Practice Address |
Bhc Marine Corp Air Station Bldg 1175 Yuma AZ 85369 |
| Mailing Address |
Bhc Marine Corp Air Station Bldg 1175 Yuma AZ 85369-9116 |
| Practice Telephone | 9282692765 |
| Practice Fax Number | 9282695545 |
| Mailing Telephone | 9282692765 |
| Mailing Fax Number | 9282695545 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-05-25 |
| 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 CAMP PENDLETON |
| 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 | 1990648 | 01 |
| Other Name | Type Code |
|---|---|
| YUMA MAIN PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765125 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 135 Santa Margarita Rd, Camp Pendelton, CA 92055 | 2016-04-13 |
| 1821485152 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 | 2015-04-24 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1790179455 | Naval Hospital Camp Pendleton | Clinic/Center | 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 1285048348 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 | 2014-06-17 |
| 1205249042 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 | 2014-06-10 |
| 1972916740 | Naval Hospital Camp Pendleton | Pharmacy | 52 Area Branch Medical, 540450 Basilone Rd, Camp Pendelton, CA 92055 | 2014-06-09 |
| 1275946444 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Regiment, 16th Street, Camp Pendelton, CA 92055 | 2014-06-05 |
| 1366855538 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 | 2014-06-05 |
| Street Address |
BHC MARINE CORP AIR STATION BLDG 1175 |
| City | YUMA |
| State | AZ |
| Zip Code | 85369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
|---|---|---|---|---|
| 1770024986 | Aaron Craig Andrew Hassad | Military Health Care Provider | 2989 East Arow Street, Yuma, AZ 85369 | 2017-03-20 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1679869119 | Stephen Spencer Austad | General Practice | Group Aid Station, Mcas Yuma, Yuma, AZ 85369 | 2011-06-23 |
| 1427222736 | Christopher Michael Davis | Family Medicine | 2917 East Hart Street, Marine Corps Air Station, Yuma, AZ 85369 | 2008-04-17 |
| 1508069527 | Naval Hospital Camp Pendleton | Clinic/Center | Bldg 1175, Yuma, AZ 85369 | 2007-06-07 |
| 1942365549 | Michael B Prudhomme | General Practice | Group Aid Station Mcas Yuma, Yuma, AZ 85369 | 2006-12-26 |
| 1073515417 | Scott Charles Haney | Dentist | 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 | 2005-08-15 |
| 1942202924 | Todd Lauby | Optometrist | Branch Medical Clinic Mcas Yuma, Bldg 1175, Yuma, AZ 85369 | 2005-08-10 |
| 1518323260 | Keith Roxo | Preventive Medicine | 406 Halstead Ave, Yuma, AZ 85369 | 2016-01-11 |
| 1043416001 | April D. Duncan | Military Health Care Provider | Naval Branch Health Clinic Yuma, Bldg 1175, Yuma, AZ 85369-9116 | 2007-06-26 |
| Find all providers in zip 85369 | ||||
| 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 |
| 1396844338 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 990, Yuma, AZ 85365 | 2006-09-22 |
| 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.