MADIGAN ARMY MEDICAL CTR (NPI# 1720291453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720291453 |
| Entity Type | Organization |
| Organization Name | MADIGAN ARMY MEDICAL CTR |
| Other Organization Name | UMATILLA ARMY DEPOT OHC |
| Practice Address |
78798 Ordnance Rd Hermiston OR 97838-9108 |
| Mailing Address |
9040a Jackson Ave Attn: Mchj-csa-u Tacoma WA 98431-0001 |
| Practice Telephone | 5415645215 |
| Mailing Telephone | 2539686598 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | KAREN MADY (TPC MANAGER) |
| Authorized Official Telephone | 2539686598 |
| Is Organization Subpart | Y |
| Parent Organization Name | MADIGAN ARMY MEDICAL CTR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY NPI | 1841390077 | 01 |
| Other Name | Type Code |
|---|---|
| UMATILLA ARMY DEPOT OHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975583 | Madigan Army Medical Ctr | Clinic/Center | Railroad Ave Bldg R3749, Tacoma, WA 98431-0001 | 2015-03-03 |
| 1528488848 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Madigan Army Medical Ctr 9040, Jackson Ave, Tacoma, WA 98431-1100 | 2014-04-25 |
| 1376974303 | Madigan Army Medical Ctr | Clinic/Center | 3 Rd Division Dr Bldg R3150, Tacoma, WA 98431-0001 | 2013-12-02 |
| 1588094213 | Madigan Army Medical Ctr | Clinic/Center | C St Bldg R1880, Tacoma, WA 98431-0001 | 2013-11-15 |
| 1043640774 | Madigan Army Medical Ctr | Clinic/Center | Railroad Ave Bldg R3742, Tacoma, WA 98431-0001 | 2013-11-15 |
| 1750719761 | Madigan Army Medical Ctr | Clinic/Center | 5 Th St Bldg 9025, Tacoma, WA 98431-0001 | 2013-10-30 |
| 1801152723 | Madigan Army Medical Ctr | Clinic/Center | 13815 8th St, Joint Base Lewis Mcchord, WA 98431-0001 | 2012-04-04 |
| 1316243744 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | 10507 156th St E, Suite 112, Puyallup, WA 98374-9361 | 2011-02-02 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1881907822 | Madigan Army Medical Ctr | Clinic/Center | 3415 Pacific Ave Se, Suite D1, Olympia, WA 98501-2173 | 2010-07-20 |
| Street Address |
78798 ORDNANCE RD |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-9108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 261QM1101X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military and U.S. Coast Guard Ambulatory Procedure |
| That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| 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] |
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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.