MCDONALD ARMY HEALTH CENTER


Address: Building 576 Stemberg Avenue, Fort Eustis, VA 23604
Phone: 7573147925

MCDONALD ARMY HEALTH CENTER (NPI# 1659577534) 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) 1659577534
Entity Type Organization
Organization Name MCDONALD ARMY HEALTH CENTER
Other Organization Name USADC MAHC-LANGLEY-EUSTIS
Practice Address Building 576 Stemberg Avenue
Fort Eustis
VA 23604
Mailing Address 579 Jefferson Ave
Attn Ubo
Fort Eustis
VA 23604-1526
Practice Telephone 7573147925
Mailing Telephone 7573147770
Enumeration Date 2007-06-26
Last Update Date 2015-04-01
Authorized Official Name DONNA ALBRIGHT (UBO REP)
Authorized Official Telephone 7573147755
Is Organization Subpart Y
Parent Organization Name MCDONALD ARMY HEALTH CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
USADC MAHC-LANGLEY-EUSTIS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821294729 Mcdonald Army Health Center Clinic/Center Building 82 Ingals, Fort Monroe, VA 23651 2007-06-26
1508062779 Mcdonald Army Health Center Clinic/Center Building 669 Monroe Avenue, Fort Eustis, VA 23604 2007-06-25
1922199066 Mcdonald Army Health Center Clinic/Center 579 Jefferson Ave, Fort Eustis, VA 23604 2006-09-27
1386743409 Mcdonald Army Health Center Pharmacy Ingalls Rd Bldg 82, Ft Monroe, VA 23651 2006-09-22
1124127246 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave Rm J7, Fort Eustis, VA 23604-1373 2006-09-22
1134226988 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 649 New Guinea Rd, Ft Story, VA 23459 2006-09-20
1609339340 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 5309 Discovery Park Blvd, Williamsburg, VA 23188-2789 2019-04-10
1861807703 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2014-06-30
1992933279 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 815 Gaffey Pl, Fort Eustis, VA 23604-1505 2009-06-25
1528295318 Mcdonald Army Health Center Clinic/Center 664 Darcy Pl, Fort Eustis, VA 23604-1635 2009-06-18

Office Location

Street Address BUILDING 576 STEMBERG AVENUE
City FORT EUSTIS
State VA
Zip Code 23604

Providers in the same zip code

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
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
1922199066 Mcdonald Army Health Center Clinic/Center 579 Jefferson Ave, Fort Eustis, VA 23604 2006-09-27
Find all providers in zip 23604

Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508062779 Mcdonald Army Health Center Clinic/Center Building 669 Monroe Avenue, Fort Eustis, VA 23604 2007-06-25
1922199066 Mcdonald Army Health Center Clinic/Center 579 Jefferson Ave, Fort Eustis, VA 23604 2006-09-27
1528295318 Mcdonald Army Health Center Clinic/Center 664 Darcy Pl, Fort Eustis, VA 23604-1635 2009-06-18
1528295615 Mcdonald Army Health Center Clinic/Center 815 Gaffey Pl, Fort Eustis, VA 23604-1505 2009-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215218342 Kenner Army Health Clinic Clinic/Center 8204 Ave C, Fort Lee, VA 23801-1716 2011-09-02
1801043252 Kenner Ahc Clinic/Center 14115 Montague Rd, Fort A P Hill, VA 22427-3115 2008-08-27
1598958308 Branch Medical Clinic The Basic School Clinic/Center 24008 Mcb #2, Quantico, VA 22134 2007-08-24
1821281908 Branch Medical Clinic Ocs Brown Field Clinic/Center 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 2007-08-22
1447457197 Branch Medical Clinic Dahlgren Clinic/Center 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 2007-06-27
1821294729 Mcdonald Army Health Center Clinic/Center Building 82 Ingals, Fort Monroe, VA 23651 2007-06-26
1356426894 United States Coast Guard Clinic/Center End of Route 238, Yorktown, VA 23690-5000 2006-10-25
1821501719 Tricare Medical Clinic Suffolk Clinic/Center 1317 Ballahack Rd, Chesapeake, VA 23322-2499 2017-11-14
1851828321 Uscg Clinic Savannah Clinic/Center 300 E Main St, Norfolk, VA 23510-1753 2017-05-16
1194252668 Uscg Clinic Barbers Point Clinic/Center 300 E Main St, Norfolk, VA 23510-1753 2017-05-16
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Competitor

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City FORT EUSTIS
Zip Code 23604

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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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