USAMEDDAC FT EUSTIS VA (NPI# 1578541520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578541520 |
| Entity Type | Organization |
| Organization Name | USAMEDDAC FT EUSTIS VA |
| Practice Address |
Bldg 2792 Harrison Loop Preventive Medicine Fort Eustis VA 23604 |
| Mailing Address |
128 Kenilworth Dr Newport News VA 23606-4025 |
| Practice Telephone | 7578784110 |
| Practice Fax Number | 7578784533 |
| Mailing Telephone | 7572230653 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE NORMAN WILLIAMS III (ARMY PUBLIC HEALTH NURSE) |
| Authorized Official Telephone | 7578784110 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | RN162229 | GA | Agencies |
| Street Address |
BLDG 2792 HARRISON LOOP PREVENTIVE MEDICINE |
| City | FORT EUSTIS |
| State | VA |
| Zip Code | 23604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647702 | Lowe Physiotherapy, LLC | Public Health or Welfare | 1220 N Taylor St, Arlington, VA 22201-4814 | 2020-10-18 |
| 1538767793 | Warminster Place LLC | Public Health or Welfare | 7020 Old Mill Road, Norfolk, VA 23518 | 2020-10-11 |
| 1013538719 | Qualified Concepts, LLC | Public Health or Welfare | 15830 Hampton Park Cir, Chesterfield, VA 23832-1900 | 2020-05-04 |
| 1477174472 | Astyra Corporation | Public Health or Welfare | 411 E Franklin St Ste 105, Richmond, VA 23219-2243 | 2020-04-30 |
| 1538780945 | The Eagleforce Foundation Inc | Public Health or Welfare | 13241 Woodland Park Rd Ste 600, Herndon, VA 20171-6401 | 2020-04-27 |
| 1124688536 | Here's 2 Life | Public Health or Welfare | 6023 Riddle Walk, Alexandria, VA 22312-2773 | 2019-06-18 |
| 1750848925 | Aaa Health Care Services LLC | Public Health or Welfare | 9525 Pine Trails Ct, Henrico, VA 23294-5344 | 2019-02-25 |
| 1720523996 | Arthur Chiu | Public Health or Welfare | 7619 Huntmaster Ln, Mc Lean, VA 22102-2531 | 2016-12-27 |
| 1528409257 | Rx4relief, LLC | Public Health or Welfare | 82 Watermans Ct, Gasburg, VA 23857-2204 | 2013-07-10 |
| 1003163338 | Gma Construction LLC | Public Health or Welfare | 166 Holden Dr, Manassas Park, VA 20111-1832 | 2012-08-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT EUSTIS |
| Zip Code | 23604 |
Please comment or provide details below to improve the information on USAMEDDAC FT EUSTIS VA.
| 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.