MADIGAN ARMY MEDICAL CTR (NPI# 1770997124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770997124 |
| Entity Type | Organization |
| Organization Name | MADIGAN ARMY MEDICAL CTR |
| Other Organization Name | DOD MONTEREY EPHCY |
| Practice Address |
473 Cabrillo St Bldg 422 U.S. Army Health Clinic Presidio of Monterey Monterey CA 93944-3201 |
| Mailing Address |
Madigan Army Medical Ctr Co Attn Mchj-pd-msa 9040a Fitzsimmons Dr Tacoma WA 98431-0001 |
| Practice Telephone | 8312425382 |
| Practice Fax Number | 8312425809 |
| Mailing Telephone | 8312425382 |
| Mailing Fax Number | 8312425809 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146220 | 01 |
| Other Name | Type Code |
|---|---|
| DoD MONTEREY ePhcy | 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 |
473 CABRILLO ST BLDG 422 U.S. ARMY HEALTH CLINIC PRESIDIO OF MONTEREY |
| City | MONTEREY |
| State | CA |
| Zip Code | 93944-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649244385 | Edward Johnson | Family Medicine | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2006-02-16 |
| 1922616416 | Brittney Lakey | Military Health Care Provider | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2020-07-21 |
| 1154869865 | Jose Yanez | Radiologic Technologist | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2017-02-02 |
| 1184075723 | Brooke Smith | Physical Therapist | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2016-06-24 |
| 1750799359 | Timothy Rafferty | Physician Assistant | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2014-07-27 |
| 1992839195 | Corinna Bartos | Internal Medicine | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2007-03-16 |
| 1982749198 | Echo Lynn Arnett | Psychologist | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2007-02-21 |
| 1205996089 | Robert Jeffrey Davis | Psychiatry & Neurology | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902237704 | Robert Sawyer | Family Medicine | Persidio of Monterey Army Health Clinic, 473 Cabrillo Street, Bldg 422, Monterey, CA 93944 | 2013-12-03 |
| 1841458452 | Matthew Scott Douglas | Physician Assistant | 473 Cabrillo Ave, Bldg 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944 | 2008-05-30 |
| 1205898871 | Madigan Army Medical Center | Social Worker | 437 Cabrillo St, Suite Aia -us Army Health Clinic, Presido of Monterey, CA 93944 | 2006-04-06 |
| 1982677175 | Eric D Morgan | Family Medicine | Presidio of Monterey Army Health Clinic, 473 Cabrillo St, Presidio of Monterey, CA 93944 | 2006-02-09 |
| 1083685358 | Andre Ming Wong | Dentist | 423 Cpl Evans Rd, Pom Dental Clinic Cmd, Monterey, CA 93944 | 2006-01-27 |
| 1912978248 | Russel Kyle Catterlin Jr. | Dentist | 423 Corporal Evans Road, Presidio of Monterey Dental Clinic, Monterey, CA 93944 | 2006-01-26 |
| 1477904191 | Teddie Matthews | Dental Hygienist | 423 Cpl Evans Rd, Monterey, CA 93944 | 2016-06-23 |
| 1841425626 | Patrick J Jones | Counselor | 473 Cabrillo St, Presidio of Monterey, CA 93944 | 2009-05-21 |
| 1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
| 1013909506 | Jon Richard Tabije | Psychologist | California Medical Detachment, Presidio of Monterey, Building 422, Monterey, CA 93944-0001 | 2005-08-19 |
| Find all providers in zip 93944 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765125 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 135 Santa Margarita Rd, Camp Pendelton, CA 92055 | 2016-04-13 |
| 1821485152 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 | 2015-04-24 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 1265846323 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 34800 Bob Wilson Dr Ste 3, San Diego, CA 92134-1003 | 2014-06-17 |
| 1285048348 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 | 2014-06-17 |
| 1205249042 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 | 2014-06-10 |
| 1275946444 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Regiment, 16th Street, Camp Pendelton, CA 92055 | 2014-06-05 |
| 1366855538 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 | 2014-06-05 |
| 1841603248 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Naf, Bldg 23, El Centro, CA 92055 | 2014-06-04 |
| 1043622681 | David S Grant Medical Center | Military/U.S. Coast Guard Pharmacy | 461 Skymaster Cir Rm 149, Travis Afb, CA 94535-1909 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
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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.