121ST CSH/BAACH (NPI# 1760550636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760550636 |
| Entity Type | Organization |
| Organization Name | 121ST CSH/BAACH |
| Other Organization Name | ACH BRIAN ALLGOOD-SEOUL |
| Practice Address |
Unit 15244 Apo AP 96205-5244 |
| Mailing Address |
Unit 15244 Box 316 Attn Ubo Apo AP 96205-5244 |
| Practice Telephone | 01182279171410 |
| Mailing Telephone | 01182279171858 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | CHONG MCCUE (CHIEF, UBO) |
| Authorized Official Telephone | 01182279171857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 8210077 | 01 |
| Other Name | Type Code |
|---|---|
| ACH BRIAN ALLGOOD-SEOUL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568660348 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 1665, Apo, AP 96205 | 2007-07-03 |
| 1811195696 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 3576, Apo, AP 96205 | 2007-07-03 |
| 1457559239 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 7005, Apo, AP 96205 | 2007-07-03 |
| 1730387515 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg S4034, Apo, AP 96205 | 2007-07-03 |
| 1306042494 | 121st Csh/baach | Clinic/Center | Unit 15658, Bldg 808, Apo, AP 96224 | 2007-06-25 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1215133301 | 121st Csh/baach | Clinic/Center | Unit 15660, Bldg 555, Apo, AP 96271 | 2007-06-25 |
| 1053517144 | 121st Csh/baach | Clinic/Center | Unit 15663, Bldg 600, Apo, AP 96297 | 2007-06-25 |
| 1700082880 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 5107, Apo, AP 96205 | 2007-06-25 |
| 1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
| Street Address |
UNIT 15244 |
| City | APO |
| State | AP |
| Zip Code | 96205-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215971494 | Joseph Rae Park | Anesthesiology | Unit 15244, Apo, AP 96205 | 2006-06-16 |
| 1124504634 | Jayme Schaaf | Nurse Anesthetist, Certified Registered | Unit 15244, Apo, AP 96205-5244 | 2018-07-17 |
| 1548796550 | Sherry Kwon | Pharmacist | Unit 15244, Apo, AP 96205-5244 | 2017-05-11 |
| 1295281988 | Donna Jean Wardle | Physical Therapist | Unit 15244, Apo, AP 96205-5244 | 2016-09-01 |
| 1265882203 | Christine Nautscher | Psychologist | Unit 15244, Apo, AP 96205-5244 | 2016-06-21 |
| 1124473012 | Julie Won | Pharmacist | Unit 15244, Apo, AP 96205-5244 | 2016-04-28 |
| 1992111496 | Richard J Upton | Pathology | Unit 15244, Apo, AP 96205 | 2014-07-03 |
| 1447682224 | Erin Ruth Ackland | Physical Therapist | Unit 15244, Apo, AP 96205 | 2013-08-05 |
| 1578828828 | Sarah B Placek | Surgery | Unit 15244, Apo, AP 96205-5244 | 2012-07-11 |
| 1821399247 | Jane Mittan | Military Health Care Provider | Unit 15244, Apo, AP 96205-5244 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| 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 |
|---|---|---|---|---|
| 1841558137 | 31st Medical Group | Military Hospital | Building 121 Aviano Afb Italy, Apo, AE 09604-0245 | 2012-04-25 |
| 1407171432 | Landstuhl Regional Medical Center | Military Hospital | Cmr 405 Box 1325, Apo, AE 09034-0014 | 2010-04-01 |
| 1417287368 | 121st General Hospital(brain Allgood Army Community Hospital) | Military Hospital | Unit 15549 Box 59, Apo, AP 96205-5549 | 2009-12-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1669456588 | Us Army | Military Hospital | Darmstadt Health Clinic, Cmr 431, Apo, AE 09175 | 2005-12-05 |
| 1629066642 | 18thmedcom | Military Hospital | 121general Hospital, Box709, Apo, AP 96205 | 2005-10-12 |
| 1639332794 | 48 Mdg | Military Hospital | 48 Mdos/sgow, Unit 5210 Box 230, Apo, AE 09461 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956558 | Naval Hospital Yokosuka | Military Hospital | Psc 475 Box 1, Code 081, Drm/ubo, Fpo, AP 96350 | 2006-05-10 |
| 1396729067 | Ronald T Purcell | Military Hospital | Usnh Yokosuka Japan, Pcs 475 Box 1, Fpo, AP 96350 | 2005-12-05 |
| 1306046727 | Branch Medical Clinic Iwakuni | Military Hospital | Psc 561 Box 1877, Fpo, AP 96310 | 2007-07-24 |
| 1144269564 | Naval Hospital Okinawa | Military Hospital | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2006-06-05 |
Please comment or provide details below to improve the information on 121ST CSH/BAACH.
| 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.