MCDONALD ARMY HEALTH CENTER


Address: 576 Jefferson Ave, Fort Eustis, VA 23604-1373
Phone: 7573147900

MCDONALD ARMY HEALTH CENTER (NPI# 1861807703) 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) 1861807703
Entity Type Organization
Organization Name MCDONALD ARMY HEALTH CENTER
Other Organization Name DOD FT EUSTIS EPHCY
Practice Address 576 Jefferson Ave
Fort Eustis
VA 23604-1373
Mailing Address Mcdonald Army Health Center
C/o Attn Ubo 579 Jefferson Avenue
Fort Eustis
VA 23604-5567
Practice Telephone 7573147900
Practice Fax Number 7573147764
Mailing Telephone 7573147900
Mailing Fax Number 7573147764
Enumeration Date 2014-06-30
Last Update Date 2016-02-18
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146591 01

Other Provider/Organization Names

Other Name Type Code
DoD FT EUSTIS ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1922199066 Mcdonald Army Health Center Clinic/Center 579 Jefferson Ave, Fort Eustis, VA 23604 2006-09-27
1386743409 Mcdonald Army Health Center Pharmacy Ingalls Rd Bldg 82, Ft Monroe, VA 23651 2006-09-22
1124127246 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave Rm J7, Fort Eustis, VA 23604-1373 2006-09-22
1134226988 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 649 New Guinea Rd, Ft Story, VA 23459 2006-09-20
1609339340 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 5309 Discovery Park Blvd, Williamsburg, VA 23188-2789 2019-04-10
1992933279 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 815 Gaffey Pl, Fort Eustis, VA 23604-1505 2009-06-25
1528295318 Mcdonald Army Health Center Clinic/Center 664 Darcy Pl, Fort Eustis, VA 23604-1635 2009-06-18

Office Location

Street Address 576 JEFFERSON AVE
City FORT EUSTIS
State VA
Zip Code 23604-1373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861498545 Laura Ellen Higdon Family Medicine 576 Jefferson Ave, Fort Eustis, VA 23604-1602 2005-06-27
1497278733 Honora Nicolai Francis Radiologic Technologist 576 Jefferson Ave, Fort Eustis, VA 23604 2017-07-19
1629444153 Joshua Tobin Sigler Emergency Medicine 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2015-08-19
1184007312 Kelly Erin Mcelroy Dentist 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2015-07-07
1104207877 Mcdonald Army Health Care Center Rehabilitation Unit 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2015-06-17
1477934867 Sabrina Rebekah Szabo Dermatology 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2015-06-11
1013325679 Adam Edward Lang Pharmacist 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 2014-07-28
1245657329 Stephany Anne Cockrum Social Worker 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2014-03-26
1104165257 Paula Trinchell Moore Pharmacist 576 Jefferson Ave, Fhc, Fort Eustis, VA 23604-1373 2013-02-10
1770827164 Virginia A Glover Clinical Exercise Physiologist 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2012-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194375188 Vincent Nevin Lattanzi Dental Assistant 576 Fort Eustis Blvd, Fort Eustis, VA 23604 2019-09-12
1730531872 Steven Mansion Dental Assistant Bldg 669 Monroe Ave, Fort Eustis, VA 23604 2016-07-12
1497106140 Cindy Delapena Dental Hygienist 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 2016-06-23
1073990131 Usv Optical Inc Eyewear Supplier (Equipment, not the service) 1386 Washington Blvd, Fort Eustis, VA 23604 2015-04-28
1548529985 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Bldg. 1386, Fort Eustis, VA 23604 2012-05-04
1073708335 Heather Dawn Guntherberg Pharmacist Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 2007-09-10
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
1922161157 Kimberly Sue Strubhar Licensed Practical Nurse Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 2006-12-19
1972666287 Nkechi Trudy Ekwueme Licensed Practical Nurse Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 2006-12-18
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124127246 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave Rm J7, Fort Eustis, VA 23604-1373 2006-09-22
1992933279 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 815 Gaffey Pl, Fort Eustis, VA 23604-1505 2009-06-25
1609975739 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave, Fort Eustis, VA 23604-1373 2006-09-22
1477652592 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy 576 Jefferson Ave, Room 34, Fort Eustis, VA 23604-1373 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174172183 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 2019-09-11
1114403961 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 7021 Harbor View Blvd, Suffolk, VA 23435-2869 2018-07-16
1437563269 Fort Belvoir Community Hospital Military/U.S. Coast Guard Pharmacy 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 2014-06-19
1508270950 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 2014-06-13
1205249059 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 2014-06-10
1467680819 World Class Marketing Inc Military/U.S. Coast Guard Pharmacy 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 2009-06-24
1609966936 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 2006-10-16
1982703013 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg 3219, Ft Lee, VA 23801 2006-09-22
1922107044 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg P8130, Ft Lee, VA 23801 2006-09-22
1659470771 1st Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 65 Spaatz Dr, Langley Afb, VA 23665-2027 2006-09-22
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Competitor

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City FORT EUSTIS
Zip Code 23604

Improve Information

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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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