MARINE CORPS LOGISTICS BASE ALBANY, GA (NPI# 1598064289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598064289 |
| Entity Type | Organization |
| Organization Name | MARINE CORPS LOGISTICS BASE ALBANY, GA |
| Other Organization Name | MCLB ALBANY |
| Practice Address |
814 Radford Blvd Suite 20346 Albany GA 31704-1130 |
| Practice Telephone | 2296395610 |
| Mailing Telephone | 2296395610 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | FOREST M THOMAS (ASST. FIRE CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 2296395610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 993 | GA | Transportation Services |
| Other Name | Type Code |
|---|---|
| MCLB Albany | Doing Business As Name - Organization |
| Street Address |
814 RADFORD BLVD SUITE 20346 |
| City | ALBANY |
| State | GA |
| Zip Code | 31704-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740269166 | Chidiebere Uzoma Ekenna-kalu | Optometrist | 814 Radford Blvd, Bldg 7000, Albany, GA 31704-1130 | 2006-01-13 |
| 1952761959 | John David Pascual | Military Health Care Provider | 814 Radford Blvd, Bldg 7000, Albany, GA 31704-1130 | 2016-03-03 |
| 1053665018 | Barbara M Robinson | Pharmacist | 814 Radford Blvd, Building 7000, Albany, GA 31704-4021 | 2012-10-30 |
| 1144490202 | Matthew Lee Pense | Military Health Care Provider | 814 Radford Blvd, Albany, GA 31704-9998 | 2008-03-05 |
| 1245416585 | Ryan Edward Sanford | Military Health Care Provider | 814 Radford Blvd, 20328, Albany, GA 31704-1130 | 2008-01-17 |
| 1588845762 | James Reginald Wyche | Military Health Care Provider | 814 Radford Blvd, Suite 20328, Albany, GA 31704-1130 | 2007-11-16 |
| 1952591034 | Patricia Montgomery | Nurse Practitioner | 814 Radford Blvd, Albany, GA 31704-1130 | 2007-07-26 |
| 1285731034 | Naval Hospital Jacksonville | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd, Bldg 7200, Albany, GA 31704-5000 | 2006-09-20 |
| 1316997026 | Dublin Vamc | Clinic/Center | 814 Radford Blvd, Albany, GA 31704-1130 | 2006-05-11 |
| 1952374514 | Wendell Eugene Lovett | Pharmacist | 814 Radford Blvd, Bldg 7200, Albany, GA 31705-9911 | 2006-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033639752 | Ryan Charles Romer | Military Health Care Provider | 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 | 2017-06-23 |
| 1992212112 | Laketa Clyde Williams | Social Worker | 814 Radford Blvd Bldg 7000, Albany, GA 31704-1130 | 2018-01-09 |
| 1952816811 | Branch Medical Clinic Albany | Clinic/Center | 814 Radford Blvd Bldg 7000, Albany, GA 31704-1130 | 2017-12-13 |
| 1437561214 | Branch Medical Clinic Albany Pharmacy | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd Bldg 7000, Marine Corps Logistics Base, Albany, GA 31704-1130 | 2014-05-28 |
| 1508045550 | Hubert Williams | Military Health Care Provider | 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 | 2007-10-26 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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|---|---|---|---|---|
| 1629541495 | Michael Opare-addo | Ambulance | 192 Sheridan Ave, Albany, NY 12210-2407 | 2019-01-04 |
| 1346641081 | Henry Eugene Harris | Ambulance | 217 Johnson Rd, Suite C, Albany, GA 31705-3059 | 2014-09-12 |
| 1477702389 | Columbia Township | Ambulance | 29446 State Route 143, Albany, OH 45710 | 2008-09-16 |
| 1174703383 | North East Advanced Life Support, LLC | Ambulance | 4 Cortland Dr, Albany, NY 12211-1319 | 2007-11-06 |
| 1306910013 | City of Albany Fire Department | Ambulance | 1000 San Pablo Ave, Albany, CA 94706-2226 | 2006-11-17 |
| 1083702740 | Albany Area Volunteer Fire Department, Inc. | Ambulance | 5533 Fire Department Ln, Albany, OH 45710-9556 | 2006-10-10 |
| 1972608644 | Dougherty County Commissioner of Roads & Revenues | Ambulance | 1436 Palmyra Rd, Albany, GA 31701-1868 | 2006-09-14 |
| 1518062264 | City of Albany | Ambulance | 333 Broadalbin Street Sw, Albany, OR 97321-0144 | 2006-09-14 |
| 1376648873 | Albany Emergency Medical Service, Inc | Ambulance | 500 E. State St., Albany, IN 47320 | 2006-09-13 |
| 1770539488 | Capital District Ambulance Service, Inc. | Ambulance | 89 West St, Albany, NY 12206-2504 | 2006-05-25 |
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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.