OSPWEED ARMYCOMMUNITY (NPI# 1497842074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497842074 |
Entity Type | Organization |
Organization Name | OSPWEED ARMYCOMMUNITY |
Other Organization Name | AMERICAN RED CROSS |
Practice Address |
5220b Silver Mine Way Fort Irwin CA 92310-2103 |
Practice Telephone | 7603803185 |
Practice Fax Number | 7603806783 |
Mailing Telephone | 7603803185 |
Mailing Fax Number | 7603806783 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. DORIS JEAN DULA (REDCROSS VOLUNTEER) |
Authorized Official Telephone | 9102739578 |
Authorized Official Credential | LVN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
064763 | NC | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
American Red Cross | Other Name - Individual/Organization |
Street Address |
5220B SILVER MINE WAY |
City | FORT IRWIN |
State | CA |
Zip Code | 92310-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
Find all providers in zip 92310 |
Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154465748 | Weed Army Community Hospital | Skilled Nursing Facility | Building 166 Third Street, Fort Irwin, CA 92310 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499746 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 4165 Brittany Dr, Redding, CA 96002-5102 | 2020-08-28 |
1023551264 | Eden Care Center | Skilled Nursing Facility | 7616 Pacific Blvd, Huntington Park, CA 90255-6026 | 2016-11-21 |
1740736198 | Corwin Kids Healthcare Inc | Skilled Nursing Facility | 18747 Corwin Rd, Apple Valley, CA 92307-2303 | 2016-08-26 |
1073914412 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 1350 Teal Hollow Dr, Yuba City, CA 95993-8885 | 2014-09-04 |
1669886230 | Centennial Healthcare LLC | Skilled Nursing Facility | 7504 Capps Ave, Reseda, CA 91335-2710 | 2014-06-11 |
1851660682 | George Nobuhiko Tobo | Skilled Nursing Facility | 16423 Harbor Blvd, Fountain Valley, CA 92708-1367 | 2011-12-22 |
1427348424 | Bridge 2 Life Healthcare, Inc. | Skilled Nursing Facility | 1331 Addison Way, Perris, CA 92571-3878 | 2011-04-11 |
1033417167 | Wee Hearts | Skilled Nursing Facility | 10049 Magnolia Blvd, 539, N Hollywood, CA 91606 | 2011-03-15 |
1720300783 | Kidz Kingdom Pdhc | Skilled Nursing Facility | 13022 Sherman Way, North Hollywood, CA 91605-4955 | 2010-02-18 |
1285884411 | Twins Services and Training Center | Skilled Nursing Facility | 22910 Teil Glen Rd, Wildomar, CA 92595-8099 | 2008-09-24 |
Find all providers with the same taxonomy |
City | FORT IRWIN |
Zip Code | 92310 |
Please comment or provide details below to improve the information on OSPWEED ARMYCOMMUNITY.
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.