BAVARIA MEDDAC (NPI# 1104021849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104021849 |
| Entity Type | Organization |
| Organization Name | BAVARIA MEDDAC |
| Other Organization Name | USADC DE ILLESHEIM |
| Practice Address |
Cmr 416, Box A Apo AE 09140 |
| Mailing Address |
Cmr 402 Bldg 3700 Ermc Ubo Apo AE 09180 |
| Practice Telephone | 0114908003503104 |
| Mailing Telephone | 01149637194647400 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | HELEN SNYDER (HEALTH SYSTEMS SPEC) |
| Authorized Official Telephone | 01149637194645471 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAVARIA MEDDAC |
| 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 Name | Type Code |
|---|---|
| USADC DE ILLESHEIM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275138 | Bavaria Meddac | Clinic/Center | Cmr 459 Box 19908, Apo, AE 09139-0020 | 2013-06-25 |
| 1821293572 | Bavaria Meddac | Clinic/Center | Unit 24516, Apo, AE 09053 | 2007-06-20 |
| 1235334970 | Bavaria Meddac | Clinic/Center | Unit 27530, Apo, AE 09139 | 2007-06-20 |
| 1235345182 | Bavaria Meddac | Clinic/Center | Unit 27535, Apo, AE 09139 | 2007-05-15 |
| 1083820831 | Bavaria Meddac | Clinic/Center | Unit 28041, Apo, AE 09112 | 2007-05-15 |
| 1174739924 | Bavaria Meddac | Clinic/Center | Unit 28130, Apo, AE 09114 | 2007-05-15 |
| 1891901641 | Bavaria Meddac | Clinic/Center | Unit 28216, Apo, AE 09173 | 2007-05-15 |
| 1053527903 | Bavaria Meddac | Clinic/Center | Cmr 416 Box 1, Apo, AE 09140 | 2007-05-15 |
| 1497961346 | Bavaria Meddac | Clinic/Center | Unit 26622 Box 3, Apo, AE 09244 | 2007-05-15 |
| 1659577997 | Bavaria Meddac | Clinic/Center | Unit 30401, Apo, AE 09107 | 2007-06-25 |
| Street Address |
CMR 416, BOX A |
| City | APO |
| State | AE |
| Zip Code | 09140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235386269 | Edna Garcia-kelley | Registered Nurse | Cmr 416, Apo, AE 09140 | 2008-08-21 |
| 1831366095 | Valerie Anne Amador | Registered Nurse | 2-159 Echo Co Cmr 416, Apo, AE 09140 | 2008-05-15 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| 1053527903 | Bavaria Meddac | Clinic/Center | Cmr 416 Box 1, Apo, AE 09140 | 2007-05-15 |
| 1518092675 | Katherine Hotz | Registered Nurse | Usahc Illesheim, Cmr 416 Box C, Apo, AE 09140 | 2007-02-22 |
| 1508935792 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Stork Barracks Bldg 6620, 91471 Illesheim Germany, Apo, AE 09140 | 2006-11-06 |
| 1023108099 | Joseph F Citarelli | Pharmacist | Illesheim Health Clinic, Cmr 416 Box C, Apo, AE 09140 | 2006-10-13 |
| 1922100643 | Brett R Steinberg | Internal Medicine | Cmr 416 Box C, Apo, AE 09140 | 2006-09-02 |
| 1144602194 | Trevor Blake Varner | Licensed Vocational Nurse | Cmr 416, Box C, Apo, AE 09140 | 2015-06-26 |
| 1477935336 | Stephanie Boyles | Registered Nurse | Cmr 416, Box C, Apo, AE 09140 | 2015-06-26 |
| Find all providers in zip 09140 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.