NAVAL HEALTH CLINIC CORPUS CHRISTI (NPI# 1881662906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881662906 |
Entity Type | Organization |
Organization Name | NAVAL HEALTH CLINIC CORPUS CHRISTI |
Practice Address |
10651 E St Code: 00rmb Corpus Christi TX 78419 |
Mailing Address |
10651 E St Code: 00rmb Corpus Christi TX 78419-5130 |
Practice Telephone | 3619616079 |
Practice Fax Number | 3619612611 |
Mailing Telephone | 3619616079 |
Mailing Fax Number | 3619612611 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2018-05-25 |
Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
Authorized Official Telephone | 2404013643 |
Is Organization Subpart | Y |
Parent Organization Name | NAVAL HEALTH CLINIC CORPUS CHRISTI |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427157668 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Corpus Christi, TX 78419 | 2006-09-22 |
1417054263 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 730 Forrestal St Bldg 375101, Kingsville, TX 78363 | 2006-09-20 |
1922410554 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-06-02 |
1275945776 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 730 Forrestal St Bldg 3775, Kingsville, TX 78363 | 2014-06-02 |
1033521737 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2014-05-29 |
1821349002 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-09-27 |
1417056664 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Ft Worth, TX 76127 | 2006-09-22 |
Street Address |
10651 E ST CODE: 00RMB |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849286 | William G. Beck | Specialist | 10651 E St, Corpus Christi, TX 78419-5130 | 2005-05-24 |
1356992713 | Diane Marie Everett | Pharmacist | 10651 E St, Corpus Christi, TX 78419-5130 | 2019-09-26 |
1790139905 | Finis Ashton Taylor IIi | Psychiatry & Neurology | 10651 E St, Corpus Christi, TX 78419-5130 | 2016-04-14 |
1568879401 | Traci Burrell | Clinic/Center | 10651 E St, Attention Medical Staff Services Office, Corpus Christi, TX 78419-5130 | 2014-07-11 |
1215275110 | Rhett Arthur Ketschke | General Practice | 10651 E St, Corpus Christi, TX 78419-5130 | 2013-01-28 |
1497007785 | Joshua John Morgan | Nurse Practitioner | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-10-10 |
1821349002 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-09-27 |
1649562398 | Colleen Anne Graham | Physical Therapist | 10651 E St, Physical Therapy Clinic, Corpus Christi, TX 78419-5130 | 2011-05-12 |
1497054258 | Kevin Hoang | Optometrist | 10651 E St, Corpus Christi, TX 78419-5130 | 2011-03-19 |
1558670166 | Brandi Nicole Milmo | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2010-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528425840 | Danny X Xu | Emergency Medical Technician, Paramedic | Naval Health Clinic Corpus Christi, 10651 E. Street, Corpus Christi, TX 78419 | 2016-01-16 |
1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
1770607145 | Gideon Allen Kain | Military Health Care Provider | 10651 E St., Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2007-03-19 |
1427157668 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Corpus Christi, TX 78419 | 2006-09-22 |
1417307349 | Erin Irene Ausborn | Family Medicine | 10651 E St., Corpus Christi, TX 78419 | 2016-06-22 |
1033521737 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2014-05-29 |
1811191984 | Naval Ambulatory Care Center,corpus Christi, Texas | Clinic/Center | Nas Corpus Christi, Corpus Christi, TX 78419-5021 | 2007-06-13 |
1639426059 | William Joseph Bates | Dentist | 10651 E St Bldg 100, Corpus Christi, TX 78419-5130 | 2012-08-06 |
1669489175 | Lawrence Anthony Ramirez | Family Medicine | 10651 E St Bldg H-100, Corpus Christi, TX 78419-5130 | 2006-08-01 |
1689642506 | Kenneth Wayne Graves | Military Health Care Provider | Naval Hospital Corpus Christi, 10651 E Street, Corpus Christi, TX 78419-5130 | 2006-03-08 |
Find all providers in zip 78419 |
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 |
---|---|---|---|---|
1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
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City | CORPUS CHRISTI |
Zip Code | 78419 |
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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.