AIR FORCE (NPI# 1891247706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891247706 |
| Entity Type | Organization |
| Organization Name | AIR FORCE |
| Practice Address |
690 Barnes Blvd Mcchord Afb WA 98438-0000 |
| Practice Telephone | 2539825688 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | ISAIAH GARY ALLISON (IDMT) |
| Authorized Official Telephone | 3605896025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013079334 | Air Force | Military Hospital | 2569 Shorey Way, Fairfield, CA 94533-6562 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Air Force 1 Driving School LLC | 1899 Billingsgate Circle, Henrico, Virginia 23238 |
| System for Award Management (SAM) Entities | AIR FORCE 1 SHUTTLE LLC | 137 Asbury Dr, Vacaville, CA 95687-5027 |
| Oklahoma Business Registrations | AIR FORCE 1, A/C & HTG., L.L.C. | 19693 Coker Rd, Tecumseh, OK 74873 |
| System for Award Management (SAM) Entities | AIR FORCE ACADEMY ATHLETIC ASSOCIATION | 2168 Field House Dr, U S A F Academy, CO 80840-9599 |
| System for Award Management (SAM) Entities | AIR FORCE ACADEMY FAMILY HOUSING | 4401 N Mesa St, El Paso, TX 79902-1150 |
| Colorado Business Entities | Air Force Academy Foundation | 3116 Academy Drive, Usaf Academy, CO 80840 |
| Colorado Business Entities | AIR FORCE ACADEMY RUGBY FOUNDATION | 1020 Garlock Ct, Colorado Springs, CO 80918 |
| Virginia Business Entities | AIR FORCE ACADEMY SOCIETY OF WASHINGTON D.C. | P. O. Box 5836, Arlington, Virginia 22205 |
| Colorado Business Entities | Air Force Academy Solar Provider, LLC | 4401 North Mesa, El Paso, TX 79902 |
| Colorado Business Entities | Air Force Academy Tours, LLC | 4660 Timber Wolf Trail, Colorado Springs, CO 80920 |
| Street Address |
690 BARNES BLVD |
| City | MCCHORD AFB |
| State | WA |
| Zip Code | 98438-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164750998 | Jeanne Chavey Morrow | Social Worker | 690 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2009-12-07 |
| 1609023274 | Madigan Army Medical Ctr | Clinic/Center | 690 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2008-08-26 |
| 1366541401 | 62nd Med Grp | Military/U.S. Coast Guard Pharmacy | 690 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2006-09-22 |
| 1871602136 | Carolyn Kay Pittenger | Registered Nurse | 690 Barnes Blvd, 62nd Mdg, Mcchord Afb, WA 98438-1303 | 2006-08-30 |
| 1447288428 | Michael Daniel Jones | Psychologist | 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2006-06-29 |
| 1952345696 | Jeff Brittain | Pharmacist | 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1801837398 | 62 Medical Group | Clinic/Center | 690 Barnes Blvd, Attn: Sghc, Mcchord Afb, WA 98438 | 2006-06-08 |
| 1811954811 | Vickie Knight | Registered Nurse | 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2006-04-26 |
| 1992761290 | Sherri Ann Cote | Registered Nurse | 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2006-04-25 |
| 1992761787 | Kathy Wainscott Berger | Registered Nurse | 690 Barnes Blvd, 62 Mdos/sgol, Mcchord Afb, WA 98374 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810483 | Roveds Kaarins | Nursing Care | Mcchord Air Force Base Clinic, 690 Barnes Blvd Jblm Lakewood Wa, Apo, AA 98438 | 2019-03-19 |
| 1326459843 | Dr Larsen Eye Care Inc | Optometrist | 504 A St Mcchord Main Exchange, Ft. Lewis Mcchord Afb, WA 98438 | 2014-05-19 |
| 1548580392 | Kevin Lok | Family Medicine | 600 Barnes Blvd., Mcchord Medical Clinic, Jblm, WA 98438 | 2010-06-03 |
| 1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
| 1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
| 1366432171 | Robert Dean Rock | Dentist | 527 Barnes Blvd, Mcchord Air Forse Base Dental Clinic, Mcchord, WA 98438 | 2005-10-24 |
| 1457344913 | Norman Harris | Dentist | 62mdos/sgod 690 Barnes Blvd., Mcchord Afb, WA 98438 | 2005-08-30 |
| Find all providers in zip 98438 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669708640 | Melissa A Reimer | Military Health Care Provider | 691 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2009-10-26 |
| 1285877639 | Michael Marshall Mcadam | Military Health Care Provider | 304 Pitsenbarger Blvd, 22 Sts/doom, Mcchord Afb, WA 98438-1201 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232902 | Jozlinn Rae | Military Health Care Provider | 3710 N Garry Rd, Otis Orchards, WA 99027-9397 | 2018-10-24 |
| 1790236503 | Mark Friskel | Military Health Care Provider | 5759a Fort Wright Oval, Fairchild Afb, WA 99011-2203 | 2016-10-17 |
| 1356682702 | Stacie Michelle Hoeger | Military Health Care Provider | 7505 N Wall St, Spokane, WA 99208-6104 | 2013-03-11 |
| 1013200757 | Leesa M Smith | Military Health Care Provider | 10447b Longmire Rd, Fort Lewis, WA 98433 | 2011-05-26 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| 1699919696 | Jason Stone Weiss | Military Health Care Provider | 3222 E 35th Ave, Spokane, WA 99223-4125 | 2009-04-22 |
| 1083783336 | Ronald Merel Husman | Military Health Care Provider | Uss Ford Ffg 54, Attn Medical Department, Fpo Ap, WA 96665-1508 | 2006-11-08 |
| 1053370254 | Erica Clarkson | Military Health Care Provider | Madigan Physical Therapy, Tacoma, WA 98431-0001 | 2006-03-17 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | MCCHORD AFB |
| Zip Code | 98438 |
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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.