CARL R DARNALL ARMY MEDICAL CENTER (NPI# 1689889495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689889495 |
| Entity Type | Organization |
| Organization Name | CARL R DARNALL ARMY MEDICAL CENTER |
| Other Organization Name | COPPERAS COVE FAM CARE CLINIC-HOOD |
| Practice Address |
819 E Highway 190 Copperas Cove TX 76522 |
| Mailing Address |
36065 Santa Fe Ave Box 313 Fort Hood TX 76544-5060 |
| Practice Telephone | 2542888381 |
| Mailing Telephone | 2542888381 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MICHELLE ROPPLE (LEAD HEALTH INSURANCE TECHNICIAN) |
| Authorized Official Telephone | 2542888381 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARL R DARNALL ARMY MEDICAL 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 |
|---|---|
| COPPERAS COVE FAM CARE CLINIC-HOOD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1740580125 | Carl R Darnall Army Medical Center | Military/U.S. Coast Guard Pharmacy | 458 W Highway 190, Town Square Shopping Center, Copperas Cove, TX 76522-3904 | 2010-11-01 |
| 1477853851 | Carl R Darnall Army Medical Center | Military/U.S. Coast Guard Pharmacy | Market Heights Shopping Center 201 E., Central Texas Expressway, Harker Heights, TX 76548 | 2010-11-01 |
| 1619287737 | Carl R Darnall Army Medical Center | Clinic/Center | Building 36053 Wratten Drive, Fort Hood, TX 76544-5095 | 2010-10-08 |
| Street Address |
819 E HIGHWAY 190 |
| City | COPPERAS COVE |
| State | TX |
| Zip Code | 76522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568525079 | Karen A Santiago | Clinic/Center | 819 E Highway 190, Copperas Cove, TX 76522-2259 | 2006-12-18 |
| 1639483902 | Carl R Darnall Army Medical Center | Clinic/Center | 819 E Highway 190, Ste 458 Town Square Shopping Mall, Copperas Cove, TX 76522 | 2010-07-29 |
| 1205975489 | Catherine Marie Gronski | Nurse Practitioner | 819 E Highway 190, Copperas Cove, TX 76522-2259 | 2007-02-05 |
| 1306902598 | Barbara Jean Prescott | Nurse Practitioner | 819 E Highway 190, Copperas Cove, TX 76522-2259 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150540 | Kassandra Bills | Physical Therapist | 1521 E Us-190, Copperas Cove, TX 76522 | 2020-09-30 |
| 1295340529 | William Edmond Wicheta Iv | Dentist | 3010 East Highway 190 Ste 130, Copperas Cove, TX 76522 | 2020-09-14 |
| 1669081923 | Southern Hills Chiropractic | Chiropractor | 1856 Patriot Cir, Copperas Cove, TX 76522 | 2020-07-23 |
| 1033735519 | Cody Michael Elenz | Chiropractor | 1856 Patriot Circle, Copperas Cove, TX 76522 | 2020-06-22 |
| 1811526247 | Silas Michael Lowery | Occupational Therapist | 1521 East Us 190, Copperas Cove, TX 76522 | 2020-04-07 |
| 1205475845 | Mia Campos | Behavioral Analyst | 1315 Mlk Jr Dr, Copperas Cove, TX 76522 | 2019-12-30 |
| 1952954638 | Cassidy Jo Mayo | Pharmacist | 2290 East Highway 190, Copperas Cove, TX 76522 | 2019-07-22 |
| 1629639448 | Van Anh Teresa Nguyen | Dentist | 2726 East Hwy 190, Suite 112, Copperas Cove, TX 76522 | 2019-06-24 |
| 1558925636 | Copperas Cove Dentistry and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 2726 E Business 190 Suite 112, Copperas Cove, TX 76522 | 2019-04-24 |
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| Find all providers in zip 76522 | ||||
| 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 |
|---|---|---|---|---|
| 1568525079 | Karen A Santiago | Clinic/Center | 819 E Highway 190, Copperas Cove, TX 76522-2259 | 2006-12-18 |
| 1639483902 | Carl R Darnall Army Medical Center | Clinic/Center | 819 E Highway 190, Ste 458 Town Square Shopping Mall, Copperas Cove, TX 76522 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
| City | COPPERAS COVE |
| Zip Code | 76522 |
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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.