121ST CSH/BAACH


Address: Unit 15494, Apo, AP 96278
Phone: 01182279171410

121ST CSH/BAACH (NPI# 1922214782) 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) 1922214782
Entity Type Organization
Organization Name 121ST CSH/BAACH
Other Organization Name USAHC CAMP CARROLL
Practice Address Unit 15494
Apo
AP 96278
Mailing Address Box 316
Unit 15244
Apo
AP 96205
Practice Telephone 01182279171410
Mailing Telephone 01182279171858
Enumeration Date 2007-05-15
Last Update Date 2014-01-03
Authorized Official Name CHONG MCCUE (CHIEF, UBO)
Authorized Official Telephone 01182279171857
Is Organization Subpart Y
Parent Organization Name 121ST CSH/BAACH

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
NCPDP 8210089 01

Other Provider/Organization Names

Other Name Type Code
USAHC Camp Carroll Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568660348 121st Csh/baach Clinic/Center Unit 15652, Bldg 1665, Apo, AP 96205 2007-07-03
1811195696 121st Csh/baach Clinic/Center Unit 15652, Bldg 3576, Apo, AP 96205 2007-07-03
1457559239 121st Csh/baach Clinic/Center Unit 15652, Bldg 7005, Apo, AP 96205 2007-07-03
1730387515 121st Csh/baach Clinic/Center Unit 15652, Bldg S4034, Apo, AP 96205 2007-07-03
1306042494 121st Csh/baach Clinic/Center Unit 15658, Bldg 808, Apo, AP 96224 2007-06-25
1730385824 121st Csh/baach Clinic/Center Unit 15659, Bldg 220, Apo, AP 96218 2007-06-25
1215133301 121st Csh/baach Clinic/Center Unit 15660, Bldg 555, Apo, AP 96271 2007-06-25
1053517144 121st Csh/baach Clinic/Center Unit 15663, Bldg 600, Apo, AP 96297 2007-06-25
1700082880 121st Csh/baach Clinic/Center Unit 15652, Bldg 5107, Apo, AP 96205 2007-06-25
1295931384 121st Csh/baach Clinic/Center Unit 15653, Bldg S306, Apo, AP 96258 2007-06-25

Office Location

Street Address UNIT 15494
City APO
State AP
Zip Code 96278

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316310832 Elissa Nicole Beebe Physician Assistant Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 2015-11-05
1902287972 Anna Schaar Friend Family Medicine 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 2015-06-15
1497012488 Kevin M Phelan Surgery 51 Mdg, Unit 2060, Apo, AP 96278 2012-04-16
1548475619 121st Csh/baach Clinic/Center Unit 2097, Camp Walker, Apo, AP 96278 2007-05-11
1912028424 Danny Eric Ervin Social Worker 51 Mdg Mdos, Unit 2060, Apo, AP 96278 2007-04-02
1477608321 Carl Neighbors Counselor 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 2007-01-23
1619043775 Wonil William Chong Dentist 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 2006-11-28
1134180185 51 Medical Group Military Hospital Resource Managment, Unit 2060, Apo, AP 96278 2006-03-29
1053390187 Robert Lee Chaplin Jr. Nurse Anesthetist, Certified Registered 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 2006-01-17
1225028368 Carrie Ashby Gregory Emergency Medicine 51st Medical Group, Unit 2060, Apo, AP 96278 2005-10-27
Find all providers in zip 96278

Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891982518 Jtf-b Med El-honduras Clinic/Center Unit 5700, Apo, AA 34042 2007-09-26
1568660348 121st Csh/baach Clinic/Center Unit 15652, Bldg 1665, Apo, AP 96205 2007-07-03
1811195696 121st Csh/baach Clinic/Center Unit 15652, Bldg 3576, Apo, AP 96205 2007-07-03
1457559239 121st Csh/baach Clinic/Center Unit 15652, Bldg 7005, Apo, AP 96205 2007-07-03
1730387515 121st Csh/baach Clinic/Center Unit 15652, Bldg S4034, Apo, AP 96205 2007-07-03
1306042494 121st Csh/baach Clinic/Center Unit 15658, Bldg 808, Apo, AP 96224 2007-06-25
1730385824 121st Csh/baach Clinic/Center Unit 15659, Bldg 220, Apo, AP 96218 2007-06-25
1215133301 121st Csh/baach Clinic/Center Unit 15660, Bldg 555, Apo, AP 96271 2007-06-25
1053517144 121st Csh/baach Clinic/Center Unit 15663, Bldg 600, Apo, AP 96297 2007-06-25
1700082880 121st Csh/baach Clinic/Center Unit 15652, Bldg 5107, Apo, AP 96205 2007-06-25
Find all providers in APO

Competitor

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City APO
Zip Code 96278

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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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