MADIGAN ARMY MEDICAL CENTER (NPI# 1003350687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003350687 |
| Entity Type | Organization |
| Organization Name | MADIGAN ARMY MEDICAL CENTER |
| Practice Address |
9040a Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 2539681684 |
| Mailing Telephone | 2539681684 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | TELESIA MULIAGATELE-PLUMMER (MEDICAL SERVICES ACCOUNT OFFICER) |
| Authorized Official Telephone | 2539681684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865X1600X |
Military Hospital Specialization: Military General Acute Care Hospital. Operational (Transportable) |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MILITARY HOSPITAL | 1841390077 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932406584 | Madigan Army Medical Center | Military Hospital | Bldg 2008b 3rd Avenue N, Tacoma, WA 98431-0001 | 2011-02-17 |
| 1740421460 | Madigan Army Medical Center | Military Hospital | Mamc Dept of Psychology, Bldg 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2009-03-09 |
| 1336310267 | Madigan Army Medical Center | Military Hospital | Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-03-19 |
| 1205898871 | Madigan Army Medical Center | Social Worker | 437 Cabrillo St, Suite Aia -us Army Health Clinic, Presido of Monterey, CA 93944 | 2006-04-06 |
| 1497270342 | Madigan Army Medical Center | Clinic/Center | 201 9th Street, Marina, CA 93933 | 2017-08-11 |
| 1124476833 | Madigan Army Medical Center | Clinic/Center | 9040 Jackson Avenue, Apo, AA 98431 | 2016-06-03 |
| 1649624453 | Madigan Army Medical Center | General Acute Care Hospital | 9040a Jackson Ave, Att: Mchj-c-e, Tacoma, WA 98431-0001 | 2016-04-18 |
| 1578927794 | Madigan Army Medical Center | Nursing Facility/Intermediate Care Facility | 9040 A Jackson Ave, Tacoma, WA 98431-1100 | 2016-04-13 |
| 1346608924 | Madigan Army Medical Center | Military Hospital | Madigan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-02-10 |
| 1578930749 | Madigan Army Medical Center | Clinic/Center | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-24 |
| Street Address |
9040A JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905249 | Richard Lyle Urbon Jr. | Internal Medicine | 9040a Jackson Ave, Tacoma, WA 98431-6283 | 2005-10-11 |
| 1962003111 | Zachary Tegen | Spec/Tech, Cardiovascular | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2020-11-04 |
| 1225681968 | Elena Brooke Haymond | Social Worker | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-22 |
| 1326529116 | Molly Glockling | Nurse Practitioner | 9040a Jackson Ave, Tacoma, WA 98431-1130 | 2018-08-28 |
| 1972009108 | Joshua Davey Read | Student in an Organized Health Care Education/Training Program | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2018-04-05 |
| 1114434701 | Timothy Edward Hausmann | Nurse Anesthetist, Certified Registered | 9040a Jackson Ave, Tacoma, WA 98431-5656 | 2018-01-04 |
| 1649624453 | Madigan Army Medical Center | General Acute Care Hospital | 9040a Jackson Ave, Att: Mchj-c-e, Tacoma, WA 98431-0001 | 2016-04-18 |
| 1962866921 | Christina Renee Yoon | Registered Nurse | 9040a Jackson Ave, Attn: Mchj-clq-q, Christina Yoon Rn, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1174996292 | Sara Whitney Young | Dietitian, Registered | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2015-11-11 |
| 1720472053 | Jonathan Pickett | Family Medicine | 9040a Jackson Ave, Tacoma, WA 98431-1000 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2865X1600X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital. Operational (Transportable) |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include hospital ships. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659514859 | Maritime Expeditionary Security Squadron Nine | Military Hospital | 2000 W Marine View Dr Bldg 2134, Everett, WA 98207-0001 | 2009-04-17 |
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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.