KENNER AHC


Address: 14115 Montague Rd, Fort A P Hill, VA 22427-3115
Phone: 8047349000

KENNER AHC (NPI# 1801043252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PARENT FACILITY NPI EFF 1 OCT 10 1891854014 01

Other Provider/Organization Names

Other Name Type Code
AP HILL AHC Doing Business As Name - Organization

Office Location

Street Address 14115 MONTAGUE RD
City FORT A P HILL
State VA
Zip Code 22427-3115

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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City FORT A P HILL
Zip Code 22427

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Dataset Information

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.

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