DFAS-JFLL/IN (NPI# 1679842306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679842306 |
| Entity Type | Organization |
| Organization Name | DFAS-JFLL/IN |
| Practice Address |
310 W Losey St Scott Afb IL 62225-5250 |
| Practice Telephone | 6182563381 |
| Mailing Telephone | 6182563381 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | MR. RICK ALLEN LANG (ELEMENT CHIEF, AEROSPACE MEDICINE) |
| Authorized Official Telephone | 6182563381 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
154926 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235539750 | Dfas-jfll/in | Clinic/Center | 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123-6110 | 2014-09-03 |
| 1639528441 | Dfas-jfll/in | Clinic/Center | 238 Brookley Avenue, Building 1300, Apo, AA 20032-0101 | 2016-06-13 |
| 1164892949 | Dfas-jfll/in | Clinic/Center | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2015-10-06 |
| 1366754400 | Dfas-jfll/in | Military Hospital | 10 Missile Ave, Minot Afb, ND 58705-5003 | 2010-07-06 |
| Street Address |
310 W LOSEY ST |
| City | SCOTT AFB |
| State | IL |
| Zip Code | 62225-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839727 | Toney L Banks | Nurse Anesthetist, Certified Registered | 310 W Losey St, Scott Afb, IL 62225-5250 | 2005-05-30 |
| 1841814852 | Hilary Elizabeth Parsons | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-06-04 |
| 1447874722 | Mauranda Nikki Bembry | Social Worker | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-06-03 |
| 1437778016 | Mark Alan Underhill | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-04-13 |
| 1194353276 | Kolin Daniel Cookson | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-04-01 |
| 1831723592 | Linh Thuy Truong | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-03-02 |
| 1346890894 | Crystal June Garcia | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-09-17 |
| 1740835602 | Andres Alejandro Paredes | Physician Assistant | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-08-07 |
| 1215580386 | Ryan Taylor Blalock | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-07-18 |
| 1063975001 | Collin Schroeder | Military Health Care Provider | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184097792 | Lukasz Ryczek | Military Hospital | 6950 W Forest Preserve Dr Apt 213, Norridge, IL 60706-7196 | 2015-11-04 |
| 1629402920 | Bridgette Love | Military Hospital | 4045 S Lake Park Ave # 302, Chicago, IL 60653-2578 | 2013-08-22 |
| 1568638948 | Edward Hines Jr. Hospital | Military Hospital | 1085 Idaho St, Carol Stream, IL 60188-1348 | 2008-05-05 |
| 1013440361 | Edward Hines Jr. Va Hospital | Military Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2017-04-04 |
| 1649445750 | Va Medical Center | Military Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2008-04-29 |
| 1013131085 | Jesse Brown Va Medical Center | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2007-04-12 |
| 1508971748 | Jess Brown Vamc | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-20 |
| 1497716922 | Jesse Brown Va Medical Center | Military Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-04-02 |
Please comment or provide details below to improve the information on DFAS-JFLL/IN.
| 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.