FOX ARMY HEALTH CENTER (NPI# 1871796334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871796334 |
| Entity Type | Organization |
| Organization Name | FOX ARMY HEALTH CENTER |
| Other Organization Name | USADC-1 REDSTONE ARSENAL |
| Practice Address |
4100 Goss Rd Sw Usadc-1 Huntsville AL 35809-0001 |
| Mailing Address |
4100 Gross Rd Attn Mcxw Pad Ins Office Redstone Arsenal AL 35809-7000 |
| Practice Telephone | 2569558888 |
| Mailing Telephone | 2568764464 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | WADE HAMLETT (UBO MANAGER) |
| Authorized Official Telephone | 2568764464 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOX ARMY HEALTH CENTER |
| 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 Name | Type Code |
|---|---|
| USADC-1 REDSTONE ARSENAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068201 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 | 2014-06-19 |
| 1164521217 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | Usa Meddac, Bldg 4100 Goss Rd, Redstone Arsenal, AL 35809-7000 | 2006-09-22 |
| 1487609962 | Fox Army Health Center | Clinic/Center | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2006-05-23 |
| Street Address |
4100 GOSS RD SW USADC-1 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35809-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346210861 | Reagon Percy Carr | Social Worker | 4100 Goss Rd Sw, Usa Meddac Attn: Credentials, Huntsville, AL 35809-0001 | 2006-01-26 |
| 1497260186 | Jessica Danielle Teachout | Dietitian, Registered | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2017-12-04 |
| 1396271375 | Jeffrey Middleton | Physical Therapist | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2017-05-11 |
| 1184170607 | Susan Landgraff | Social Worker | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2016-08-26 |
| 1487068201 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 | 2014-06-19 |
| 1598031106 | Brandon Howard | Pharmacist | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2012-03-28 |
| 1487922050 | Fox Army Health Clinic | Clinic/Center | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2011-12-09 |
| 1326372392 | Danette Garces-webb | Psychologist | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2009-09-23 |
| 1568624484 | Bridget Boyd Hayes | Optometrist | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2008-07-01 |
| 1114121696 | Siddharta Prasad Nandi | Family Medicine | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366952442 | Jo-ann Anita Taalib | Social Worker | 300 Goss Rd, Redstone Arsenal, AL 35809 | 2017-10-03 |
| 1750313540 | David Lawrence Kesting | Physical Therapist | Fox Army Health Center 4100 Goss Rd, Redstone Arsenal, AL 35809 | 2006-07-06 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1972505360 | Carter Joe Hale | Internal Medicine | 4100 Goss Rd, Fox Army Health Center, Redstone Arsenal, AL 35809 | 2005-08-15 |
| 1659721181 | Katherine Brown | Dental Hygienist | Bldg 4100 Goss Rd, Redstone Arsenal Dental Clinic, Redstone Arsenal, AL 35809 | 2016-06-15 |
| 1689740904 | Amy Felice Sellers | Social Worker | Usa Meddac, Attn Mcxw Qm, Redstone Arsenal, AL 35809 | 2006-11-28 |
| 1508050659 | Minnetta Williams | Nurse Practitioner | 4100 Goss Rd, Redstone Arsenal, AL 35809-0001 | 2007-08-31 |
| 1154476992 | Carly Marie Skarphol | Registered Nurse | Fox Army Health Center (preventive Medicine), Bldg 4100 Goss Road, Redstone Arsenal, AL 35809-7000 | 2007-01-24 |
| 1710031174 | Suzette Lee Baker | Pharmacist | Fox Army Health Center Pharmacy, 4100 Goss Road, Redstone Arsenal, AL 35809-7000 | 2007-01-23 |
| 1235282195 | Lanell Cianciola | Pharmacist | Fox Army Health Center (pharmacy), 4100 Goss Road, Redstone Arsenal, AL 35809-7000 | 2007-01-22 |
| Find all providers in zip 35809 | ||||
| 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 |
|---|---|---|---|---|
| 1144423617 | United States Army Aeromedical Center | Clinic/Center | 4405 Innkeeper Street, Fort Rucker, AL 36362 | 2007-06-11 |
| 1932122314 | United States Army Aeromedical Center | Clinic/Center | 301 Andrews Rd, Fort Rucker, AL 36362 | 2006-07-25 |
| 1396738944 | Maxwell Afb Ambulatory Health Care Center | Clinic/Center | 300 S. Twining Street, Bldg 760, Family Practice - Yellow Team, Maxwell Afb, AL 36112 | 2005-08-30 |
| 1821410242 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033532486 | Lyster Army Health Clinic | Clinic/Center | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033541156 | Us Coast Guard | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1760673784 | U. S. Coast Guard Aviation Training Center Mobile | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2007-08-05 |
| 1790889053 | Centeral Alabama Veterans Health Care System | Clinic/Center | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2006-09-08 |
| City | HUNTSVILLE |
| Zip Code | 35809 |
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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.