KIMBROUGH ACC MILITARY MTF (NPI# 1730254152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730254152 |
| Entity Type | Organization |
| Organization Name | KIMBROUGH ACC MILITARY MTF |
| Other Organization Name | AHC DUNHAM-CARLISLE BARRACKS |
| Practice Address |
450 Gibner Rd Carlisle PA 17013-5090 |
| Mailing Address |
2480 Llewellyn Ave Cdr Usameddac Mcxr-bd Ste 5800 Fort Meade MD 20755-7081 |
| Practice Telephone | 7172453400 |
| Mailing Telephone | 3016778253 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | TERRI KIMBROW (UBO MANAGER) |
| Authorized Official Telephone | 3016778512 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIMBROUGH ACC MILITARY MTF |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY NPI | 1164507703 | 01 | |
| MEDCO | AN2598588 | 01 |
| Other Name | Type Code |
|---|---|
| AHC DUNHAM-CARLISLE BARRACKS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667736 | Kimbrough Acc Military Mtf | Pharmacy | G-avenue, Bldg 400 Dept of Pharmacy, New Cumberland, PA 17070 | 2018-04-25 |
| 1457849556 | Kimbrough Acc Military Mtf | Pharmacy | Ft Indiantown Gap, Bldg 4-114, Annville, PA 17003 | 2018-04-25 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1871709576 | Kimbrough Acc Military Mtf | Clinic/Center | 99 G Street, Bldg 400, New Cumberland, PA 17070 | 2007-05-16 |
| 1417163114 | Kimbrough Acc Military Mtf | Clinic/Center | 1999 Fisher Ave, Fort Indiantown Gap, Annville, PA 17003 | 2007-05-16 |
| 1235345935 | Kimbrough Acc Military Mtf | Clinic/Center | Letterkenny Army Depot, Bldg 332, Chambersburg, PA 17201 | 2007-05-16 |
| 1689888455 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 103 3rd Ave, Building 58, Washington, DC 20319-5058 | 2007-05-10 |
| 1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
| 1205242310 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 1434 Porter St, Frederick, MD 21702-9254 | 2014-07-09 |
| 1316353782 | Kimbrough Acc Military Mtf | Pharmacy | 401 Carpenter Rd Bldg 525, Fort Myer, VA 22211-1009 | 2014-07-07 |
| Street Address |
450 GIBNER RD |
| City | CARLISLE |
| State | PA |
| Zip Code | 17013-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992108633 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle, PA 17013-5090 | 2014-10-08 |
| 1093088171 | April Kaczmarczyk Letcher | Pharmacist | 450 Gibner Rd, Suite 1, Carlisle, PA 17013-5086 | 2012-02-20 |
| 1972668762 | Gail Dreitzler | Physical Therapist | 450 Gibner Rd, Suite 1, Carlisle, PA 17013-5003 | 2006-12-22 |
| 1033278072 | Mary Lim Reed | Family Medicine | 450 Gibner Rd, Suite #1, Carlisle, PA 17013-5090 | 2006-12-06 |
| 1043255870 | Alan E Lentz | Dentist | 450 Gibner Rd, Suite 2, Carlisle, PA 17013-5003 | 2006-06-17 |
| 1952386286 | Ines Roe | Counselor | 450 Gibner Rd, Dunham Army Health Clinic, Carlisle, PA 17013-5003 | 2005-12-09 |
| 1689657462 | Kimberlee Pippenger Young | Family Medicine | 450 Gibner Rd, Dunham Us Army Health Clinic, Carlisle, PA 17013-5003 | 2005-11-25 |
| 1659353159 | Christina Balum Maier | Family Medicine | 450 Gibner Rd, Carlisle, PA 17013-5003 | 2005-11-18 |
| 1487635124 | Laurie E. Pearl | Counselor | 450 Gibner Rd, Carlisle, PA 17013-5003 | 2005-11-09 |
| 1740261932 | Linda Jean Clark | Pediatrics | 450 Gibner Rd, Carlisle, PA 17013-5003 | 2005-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| 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 |
|---|---|---|---|---|
| 1609381623 | Branch Medical Clinic Philadelphia | Clinic/Center | 4898 S Broad St, Philadelphia, PA 19112-1320 | 2017-12-13 |
| 1871709576 | Kimbrough Acc Military Mtf | Clinic/Center | 99 G Street, Bldg 400, New Cumberland, PA 17070 | 2007-05-16 |
| 1417163114 | Kimbrough Acc Military Mtf | Clinic/Center | 1999 Fisher Ave, Fort Indiantown Gap, Annville, PA 17003 | 2007-05-16 |
| 1235345935 | Kimbrough Acc Military Mtf | Clinic/Center | Letterkenny Army Depot, Bldg 332, Chambersburg, PA 17201 | 2007-05-16 |
| 1215134747 | Branch Medical Clinic Mechanicsburg | Clinic/Center | 5450 Carlisle Pike, Bldg 23a, Mechanicsburg, PA 17050-2411 | 2007-06-28 |
| 1174728414 | Kimbrough Acc Military Mtf | Clinic/Center | 450 Gibner Rd, Usadc, Carlisle Barracks, PA 17013-5003 | 2007-06-18 |
| 1225243181 | Keller Army Community Hospital | Clinic/Center | 11 Hap Arnold Blvd, Tobyhanna, PA 18466-5002 | 2007-05-14 |
Please comment or provide details below to improve the information on KIMBROUGH ACC MILITARY MTF.
| 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.