NAVAL HEALTH CLINIC NEW ENGLAND (NPI# 1124431978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124431978 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC NEW ENGLAND |
| Practice Address |
One Ayres Circle Bldg H-1 Kittery ME 03904 |
| Mailing Address |
Naval Branch Health Clinic Groton 1 Wahoo Ave Groton CT 06349 |
| Practice Telephone | 2074382582 |
| Practice Fax Number | 2074382243 |
| Mailing Telephone | 2074382582 |
| Mailing Fax Number | 2074382243 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC NEW ENGLAND |
| 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 | 2146203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083713242 | Naval Health Clinic New England | Pharmacy | Bldg 291 King Hall, Naval Ambulatory Care Ctr, King Hall, RI 02841 | 2006-09-22 |
| 1154420438 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | Navy Branch Medical Clinic, One West Ave Suite 230, Saratoga Springs, NY 12866 | 2006-09-22 |
| 1881791630 | Naval Health Clinic New England | Pharmacy | Nhcne, Pharmacy 43 Smith Rd Bld 43, Newport, RI 02841 | 2006-09-20 |
| 1437256286 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Ayers Circle Bldg H1, Portsmouth, NH 03801 | 2006-09-20 |
| 1629515911 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Ayers Circle, Bldg H-1, Kittery, ME 03904 | 2017-01-24 |
| 1437564671 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 | 2014-06-26 |
| 1588077713 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Riggs Rd, Newport, RI 02841-1000 | 2014-06-05 |
| 1639581143 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324 | 2014-06-02 |
| 1073603304 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Wahoo Ave, Building 449, Groton, CT 06349-2324 | 2006-10-16 |
| 1538128350 | Naval Health Clinic New England | Clinic/Center | 43 Smith Rd, Building 43, Room 1063, Newport, RI 02841-1002 | 2006-03-21 |
| Street Address |
ONE AYRES CIRCLE BLDG H-1 |
| City | KITTERY |
| State | ME |
| Zip Code | 03904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
| 1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
| 1780753855 | Richard Anthony Lebro | Chiropractor | 135 Rogers Road, Kittery, ME 03904 | 2006-11-06 |
| Find all providers in zip 03904 | ||||
| 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 |
|---|---|---|---|---|
| 1629515911 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | 1 Ayers Circle, Bldg H-1, Kittery, ME 03904 | 2017-01-24 |
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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.