RENOLDS ARMY COMMUNITY HOSPITAL (NPI# 1912200221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912200221 |
| Entity Type | Organization |
| Organization Name | RENOLDS ARMY COMMUNITY HOSPITAL |
| Other Organization Name | SILL CBPCC PHCY |
| Practice Address |
5404 Sw Lee Blvd Lawton OK 73505-9695 |
| Mailing Address |
4301 Wison St Ft Sill OK 73503-4472 |
| Practice Telephone | 5805582558 |
| Practice Fax Number | 5805582445 |
| Mailing Telephone | 5805582558 |
| Mailing Fax Number | 5805582445 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| 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 | 2127942 | 01 |
| Other Name | Type Code |
|---|---|
| SILL CBPCC PHCY | Doing Business As Name - Organization |
| Street Address |
5404 SW LEE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678245 | Richard Jene Allgood | Surgery | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2005-06-10 |
| 1942782040 | Comanche County Hospital Authority | Pharmacy | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2018-09-05 |
| 1366922437 | April Zumwalt | Nurse Practitioner | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2018-08-17 |
| 1659871044 | Michelle White | Registered Nurse | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2018-02-13 |
| 1154859189 | Natalie Patterson | Student in an Organized Health Care Education/Training Program | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2017-06-04 |
| 1427401686 | Jennifer Cargill | Nurse Practitioner | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2016-07-22 |
| 1073928594 | Phong Luu | Family Medicine | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2014-06-23 |
| 1427481449 | Ahmed Mohamed Abdin | Pediatrics | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2013-08-13 |
| 1932540440 | Chasity Maureen Landtroop | Counselor | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2013-07-12 |
| 1447543285 | Lawton Surgery Investment Company LLC | Clinic/Center | 5404 Sw Lee Blvd, Lawton, OK 73505-9695 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1457654766 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Custer Road, Bldg 2913, Fort Sill, OK 73503 | 2010-12-08 |
| 1831298017 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Macomb Rd Bldg 1719, Ft Sill, OK 73503 | 2006-09-22 |
| 1740389923 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Thomas Rd Bldg 6043 Tmc2, Ft Sill, OK 73503 | 2006-09-22 |
| 1194824458 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Reynolds Comm Hosp Dept of Phcy, 4300 Thomas St Bldg 4300, Ft Sill, OK 73503 | 2006-09-22 |
| 1982703245 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Us Army Health Clinic Aar Mcalester, Ic Tree Road, Mcalester, OK 74301-5000 | 2006-09-22 |
| 1245337096 | 72 Nd Medical Group | Military/U.S. Coast Guard Pharmacy | 5700 Arnold St Bldg 5801, Tinker Afb, OK 73145-8105 | 2006-09-20 |
| 1801871371 | 72d Medical Group | Military/U.S. Coast Guard Pharmacy | 5700 Arnold St., Tinker Afb, OK 73145-8012 | 2005-12-07 |
| 1962818336 | 71 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-07 |
| 1568877702 | Department of The Air Force 72d Medical Group | Military/U.S. Coast Guard Pharmacy | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2014-06-26 |
| 1225442056 | Reynolds Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4301 Wilson St, Reynolds Army Community Hospital, Fort Sill, OK 73503-4472 | 2014-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RENOLDS ARMY COMMUNITY HOSPITAL.
| 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.