KELLER ARMY COMMUNITY HOSPITAL


Address: 1075 Stephenson Ave, Bldg 1075 Monmouth Op Phcy, Fort Monmouth, NJ 07703-1518
Phone: 8459382271

KELLER ARMY COMMUNITY HOSPITAL (NPI# 1437258886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437258886
Entity Type Organization
Organization Name KELLER ARMY COMMUNITY HOSPITAL
Other Organization Name MONMOUTH OP PHCY
Practice Address 1075 Stephenson Ave
Bldg 1075 Monmouth Op Phcy
Fort Monmouth
NJ 07703-1518
Mailing Address 900 Washington Rd
Attn Mcud-rmd-ubo
West Point
NY 10996-1109
Practice Telephone 8459382271
Mailing Telephone 8459388239
Enumeration Date 2006-09-22
Last Update Date 2011-03-23
Authorized Official Name HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
Authorized Official Telephone 2102218443
Is Organization Subpart Y
Parent Organization Name KELLER ARMY COMMUNITY HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PARENT FACILITY NPI 1528161916 01
OTHER ID NUMBER-COMMERCIAL NUMBER 3141758 01
NCPDP PAYMENT CENTER 005328 01
FACILITY NPI 1912006685 01

Other Provider/Organization Names

Other Name Type Code
MONMOUTH OP PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235334392 Keller Army Community Hospital Clinic/Center 606 Cullum Road, Building 606, West Point, NY 10996 2007-06-19
1275747149 Keller Army Community Hospital Clinic/Center 5631 Baltimore St, Fort Dix, NJ 08640-5440 2007-05-10
1174622542 Keller Army Community Hospital Pharmacy Bldg 606, West Point, NY 10996 2006-09-22
1427157882 Keller Army Community Hospital Pharmacy Bldg 900, West Point, NY 10996 2006-09-22
1912006362 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 114 Rm 175, Ft Hamilton, NY 11252 2006-09-22
1588763841 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 11 Hap Amold Blvd, Tobyhanna, PA 18466 2006-09-22
1528167970 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 2006-09-22
1912006685 Keller Army Community Hospital Clinic/Center Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 2006-09-21
1861469355 Keller Army Community Hospital Rehabilitation Unit 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 2006-03-02
1861898942 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 114 White Ave, Brooklyn, NY 11252-9503 2014-11-17

Office Location

Street Address 1075 STEPHENSON AVE
BLDG 1075 MONMOUTH OP PHCY
City FORT MONMOUTH
State NJ
Zip Code 07703-1518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013906189 Ellen Teresa Foley Social Worker 1075 Stephenson Ave, Attn:credentials Office, Fort Monmouth, NJ 07703-5000 2005-10-20
1104335488 Unity Place of Monmouth County, LLC Substance Abuse Rehabilitation Facility 1075 Stephenson Ave, Fort Monmouth, NJ 07703-1518 2017-09-29
1730698143 Unity Place of Monmouth County, LLC Substance Abuse Rehabilitation Facility 1075 Stephenson Ave, Fort Monmouth, NJ 07703-1518 2017-09-28
1205031770 Keller Army Community Hospital Clinic/Center 1075 Stephenson Ave, Usadc, Fort Monmouth, NJ 07703-1518 2007-06-15
1194889865 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 1075 Stephenson Ave, Monmouth Poe Phcy, Fort Monmouth, NJ 07703-1518 2006-12-20
1013099068 Angelo Dewitt Moore Registered Nurse 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-5000 2006-10-19
1124118476 Samuel Gerard Falcone Social Worker 1075 Stephenson Ave, Patterson Army Health Clinic, Attn: Credentials Office, Fort Monmouth, NJ 07703-1518 2006-10-14
1477641793 Jamie Gulden Physician Assistant 1075 Stephenson Ave, Patterson Army Healthcare Clinic, Fort Monmouth, NJ 07703-1518 2006-10-11
1356319545 Jason E Cohen Emergency Medicine 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-1518 2006-03-14
1134100555 William Joseph Moran Jr. Registered Nurse 1075 Stephenson Ave, Pahc, Attn: Credentials Office, Fort Monmouth, NJ 07703-5000 2005-11-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912006685 Keller Army Community Hospital Clinic/Center Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 2006-09-21
1790728301 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Fort Monmouth, Building 1003, Fort Monmouth, NJ 07703 2006-06-13
1184691255 Asha Vijendran Rao Internal Medicine Stephensen Avenue, Va Cboc Fort Monmouth, Bldg 1075, Fort Monmouth, NJ 07703 2006-03-07
1407833288 Jose Gabriel Bal Family Medicine Stephenson Ave, Building 1075, Fort Monmouth, NJ 07703 2005-12-22
1972584399 Janet Logan Registered Nurse 1075 Stephenson Avenue-ft. Monmouth, Eatontown, NJ 07703 2005-11-11
1326029810 Kylee Verlee Plummer Registered Nurse 1075 Stevenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703 2005-11-10
1740261247 Mary Baker Weaver Licensed Practical Nurse Bldg 1075 Stephenson Ave Ft. Monmouth, Eatontown, NJ 07703 2005-11-10
1144201963 Carla Laurie Sawyer Registered Nurse 1075 Stenson Ave., Eatontown, NJ 07703 2005-11-09
1134100977 Krista A Killins Registered Nurse Patterson Army Health Clinic, Bldg 1075 Stephenson Ave-ft Monmouth, Eatontown, NJ 07703 2005-11-09
1629059464 Mary Cotogno Registered Nurse 1075 Stephenson Ave-fort Monmouth, Eatontown, NJ 07703 2005-11-09
Find all providers in zip 07703

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194889865 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 1075 Stephenson Ave, Monmouth Poe Phcy, Fort Monmouth, NJ 07703-1518 2006-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710287198 Lakehurst Military/U.S. Coast Guard Pharmacy 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 2010-11-01
1104011667 Atlantic City Uscg Phcy Military/U.S. Coast Guard Pharmacy Amelia Earhart Road, Bldg 350, Atlantic City, NJ 08405-0001 2007-09-07
1346349792 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 2006-09-22
1255430609 87th Medical Group Military/U.S. Coast Guard Pharmacy Naval Weapon Station Earl Hwy 35, Leonardo, NJ 07737 2006-09-22
1528167970 Keller Army Community Hospital Military/U.S. Coast Guard Pharmacy 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 2006-09-22
1164529913 Us Coast Guard Finance Center Military/U.S. Coast Guard Pharmacy 1 Munro Ave Bldg 270, Cape May, NJ 08204-5000 2006-09-20
1255438008 Colts Neck Phcy Military/U.S. Coast Guard Pharmacy 201 State Route 34 S Bldg C3, Naval Weapons Station Earle, Colts Neck, NJ 07722-1902 2006-09-20
1518150598 Green Valley Medical Equipment Military/U.S. Coast Guard Pharmacy 214 E Main St, Bound Brook, NJ 08805-2026 2007-08-22
1881650141 87 Medical Group Military/U.S. Coast Guard Pharmacy 3458 Neely Rd, Mdss Sgsbr, Mc Guire Afb, NJ 08641-5312 2006-04-25

Competitor

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City FORT MONMOUTH
Zip Code 07703

Improve Information

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Dataset Information

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.

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