NAVAL HEALTH CLINIC CHARLESTON (NPI# 1841399011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841399011 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC CHARLESTON |
| Practice Address |
110 Nnptc Cir Goose Creek SC 29445-6314 |
| Mailing Address |
Navy Health Clinic Charleston 110 Nnptc-circle Ubo/tpc Goose Creek SC 29445 |
| Practice Telephone | 8437946100 |
| Practice Fax Number | 8437437296 |
| Mailing Telephone | 8437437295 |
| Mailing Fax Number | 8437437296 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC CHARLESTON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2091722 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770517658 | Naval Health Clinic Charleston | Clinic/Center | 110 Nnptc Circle, Ubo/tpc, Goose Creek, SC 29445 | 2006-07-10 |
| Street Address |
110 NNPTC CIR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962482141 | Simon V Scalia | Internal Medicine | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2006-01-22 |
| 1245711902 | Janice Patrice Guidi | Psychologist | 110 Nnptc Cir, Goose Creek, SC 29445 | 2018-08-22 |
| 1215472204 | Anhthu Nguyen | Pharmacist | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2016-12-29 |
| 1588025746 | John Bissett | General Practice | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2016-03-16 |
| 1326439670 | Kelly Wooten | Physical Therapy Assistant | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2015-02-09 |
| 1306235981 | Jessica Casey | Social Worker | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2015-01-20 |
| 1366845430 | Danielle June Baez | Social Worker | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2014-10-03 |
| 1821406554 | Robert Kimberling | Nurse Practitioner | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2014-07-25 |
| 1538403472 | Jennifer Dawn Studer | Nurse Practitioner | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2012-11-15 |
| 1538374798 | Deborah Ann Marrington | Pediatrics | 110 Nnptc Cir, Goose Creek, SC 29445 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| 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 |
|---|---|---|---|---|
| 1669877064 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1021 Pinnacle Point Dr Ste 200, Columbia, SC 29223-5740 | 2014-10-28 |
| 1114332368 | 628 Medical Group | Military/U.S. Coast Guard Pharmacy | 204 W Hill Blvd Bldg 364, Charleston Afb, SC 29404-4704 | 2014-06-26 |
| 1306945563 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | Bldg 669, Parris Island, SC 29905 | 2006-09-22 |
| 1235238411 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4500, Stuart Street, Ft Jackson, SC 29207 | 2006-09-22 |
| 1043319213 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4575, Marion Ave, Ft Jackson, SC 29207 | 2006-09-22 |
| 1881793057 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4716, Commissary Rd, Ft Jackson, SC 29207 | 2006-09-22 |
| 1760581946 | 20th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 515 Exchange St, Bldg 1448, Shaw Afb, SC 29152-5033 | 2006-09-22 |
| 1881009033 | 20th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 431 Meadowlark St, Shaw Afb, SC 29152-5019 | 2014-06-26 |
| 1811309339 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | 1 Pinckney Blvd, Naval Hospital Beaufort, Beaufort, SC 29902 | 2014-06-02 |
| 1073802807 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2011-04-01 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.