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).
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 |
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 Name | Type Code |
---|---|
USADC MAHC-LANGLEY-EUSTIS | Doing Business As Name - Organization |
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 |
Street Address |
BUILDING 576 STEMBERG AVENUE |
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 |
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 Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | FORT EUSTIS |
Zip Code | 23604 |
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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.