KENNER AHC (NPI# 1801043252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801043252 |
Entity Type | Organization |
Organization Name | KENNER AHC |
Other Organization Name | AP HILL AHC |
Practice Address |
14115 Montague Rd Fort A P Hill VA 22427-3115 |
Mailing Address |
700 24th St Attn Pad Fort Lee VA 23801-1716 |
Practice Telephone | 8047349000 |
Mailing Telephone | 8047349306 |
Enumeration Date | 2008-08-27 |
Last Update Date | 2014-01-30 |
Authorized Official Name | CARLOS RODRIGUEZ-ROSADO (NCOIC PAD) |
Authorized Official Telephone | 8047349299 |
Is Organization Subpart | Y |
Parent Organization Name | KENNER AHC |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PARENT FACILITY NPI EFF 1 OCT 10 | 1891854014 | 01 |
Other Name | Type Code |
---|---|
AP HILL AHC | Doing Business As Name - Organization |
Street Address |
14115 MONTAGUE RD |
City | FORT A P HILL |
State | VA |
Zip Code | 22427-3115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
1386158319 | Karla Castillo | Dentist | Calzada Tecnologico 811, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2017-11-29 |
1609327527 | Jessica Y Figueroa Diaz | Dentist | Calle Sociologos # 308, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2016-10-14 |
1639476989 | Barbara Helen Hiestand | Social Worker | 102 West Broaddus Ave. Ste. 200, Bowling Green, VA 22427 | 2011-02-23 |
1295891513 | Latisha Shintrell Martin | Dentist | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 | 2006-12-29 |
1811092109 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 102 Broaddus Avenue, Bowling Green, VA 22427 | 2006-09-13 |
1629181557 | Medical Facilities of America Xl | Skilled Nursing Facility | 120 Anderson Ave., Bowling Green, VA 22427 | 2006-08-16 |
Find all providers in zip 22427 |
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 |
---|---|---|---|---|
1215218342 | Kenner Army Health Clinic | Clinic/Center | 8204 Ave C, Fort Lee, VA 23801-1716 | 2011-09-02 |
1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
1821281908 | Branch Medical Clinic Ocs Brown Field | Clinic/Center | 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 | 2007-08-22 |
1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
1821501719 | Tricare Medical Clinic Suffolk | Clinic/Center | 1317 Ballahack Rd, Chesapeake, VA 23322-2499 | 2017-11-14 |
Find all providers with the same taxonomy |
City | FORT A P HILL |
Zip Code | 22427 |
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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.