BLANCHFIELD ARMY COMMUNITY HOSPITAL (NPI# 1457835456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457835456 |
| Entity Type | Organization |
| Organization Name | BLANCHFIELD ARMY COMMUNITY HOSPITAL |
| Practice Address |
Bldg 110 Pharm Usa Health Clinic Rock Island IL 61299-0001 |
| Mailing Address |
110 Rodman Ave Rock Island IL 61299-0001 |
| Practice Telephone | 3097820550 |
| Practice Fax Number | 3097820553 |
| Mailing Telephone | 5026249274 |
| Mailing Fax Number | 3097820553 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Authorized Official Name | ROSEMARY GONZALEZ (MTF SUPPORT) |
| Authorized Official Telephone | 2105366096 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLANCHFIELD ARMY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| DoD ROCK ISLAND CC ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942783246 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 | 2018-09-12 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| 1215340401 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 98a Michigan Ave, Fort Campbell, KY 42223-5622 | 2014-06-05 |
| 1336575497 | Blanchfield Army Community Hospital | Clinic/Center | Toccoa Road Bldg 70344, Fort Campbell, KY 42223-5318 | 2013-09-20 |
| 1518393677 | Blanchfield Army Community Hospital | Clinic/Center | 53rd Street and Indiana Ave, Bldg 3929, Fort Campbell, KY 42223-5318 | 2013-09-20 |
| 1427484583 | Blanchfield Army Community Hospital | Clinic/Center | 55th Street and Indiana Avenue, Bldg 3960, Fort Campbell, KY 42223-5318 | 2013-09-20 |
| 1154757219 | Blanchfield Army Community Hospital | Clinic/Center | 30th Street and Desert Storm Avenue, Bldg 6988, Fort Campbell, KY 42223-5318 | 2013-09-20 |
| 1376982413 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 650 Joel Dr Bldg B, Fort Campbell, KY 42223-5318 | 2013-06-21 |
| 1457643231 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 7973 Strike Blvd, Fort Campbell, KY 42223 | 2011-05-11 |
| Street Address |
BLDG 110 PHARM USA HEALTH CLINIC |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61299-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942783246 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154631810 | Kelly Ann Guerra | Physician Assistant | Us Army Hc - Rock Island Arsenal Health Clinic (riahc), Attn: Mcxm-dmc, Bldg. 110 (basement), Rock Island Arsenal, IL 61299 | 2010-10-15 |
| 1972583631 | Robert Thomas Pero | Preventive Medicine | Building 110 South Rodman Avenue, Rock Island Arsenal, IL 61299 | 2006-01-19 |
| 1841405388 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 110 Rodman Ave, Rock Island, IL 61299-0001 | 2007-05-10 |
| 1720185572 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001 | 2006-09-20 |
| 1457453037 | Joseph Anthony Bowen | Technician, Other | 218 Rock Island Ave, Rock Island, IL 61299-0001 | 2006-09-02 |
| 1164612636 | Rita Baugh | Social Worker | Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299-5001 | 2007-07-30 |
| 1912313222 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 | 2014-07-08 |
| 1033199195 | Arthur B Cajigal | Preventive Medicine | Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 | 2006-01-17 |
| 1306824925 | Jeffery M Jauron | Family Medicine | Rock Island Arsenal, 1 Rock Island, Rock Island, IL 61299-7240 | 2006-01-04 |
| 1356334106 | Scott Stange | Social Worker | Rock Island Arsenal Health Clinic, (riahc), Attn: Mcxm-dmc, Building 110, Rock Island Arsenal, IL 61299-7240 | 2005-08-26 |
| Find all providers in zip 61299 | ||||
| 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 |
|---|---|---|---|---|
| 1942783246 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 | 2018-09-12 |
| 1841405388 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 110 Rodman Ave, Rock Island, IL 61299-0001 | 2007-05-10 |
| 1720185572 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912313222 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 | 2014-07-08 |
| 1043625981 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd Bldg 3452, North Chicago, IL 60088-3303 | 2014-06-30 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1831406719 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 | 2010-09-13 |
| 1790092674 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 | 2010-09-13 |
| 1508965120 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2006-09-21 |
| 1336248962 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 | 2006-09-21 |
| 1447665690 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2470 Sampson St Bldg 237, North Chicago, IL 60088-2942 | 2014-06-26 |
| 1538574777 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-06-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND |
| Zip Code | 61299 |
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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.