FOX ARMY HEALTH CENTER (NPI# 1164521217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521217 |
| Entity Type | Organization |
| Organization Name | FOX ARMY HEALTH CENTER |
| Other Organization Name | REDSTONE PHCY |
| Practice Address |
Usa Meddac Bldg 4100 Goss Rd Redstone Arsenal AL 35809-7000 |
| Mailing Address |
Mcxw Pad Ins Office Bldg 4100 Goss Rd Redstone Arsenal AL 35809-7000 |
| Practice Telephone | 2568765773 |
| Practice Fax Number | 2568420655 |
| Mailing Telephone | 2012218274 |
| Mailing Fax Number | 2102952567 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-08-19 |
| 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 | 1994579 | 01 |
| Other Name | Type Code |
|---|---|
| REDSTONE PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068201 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 | 2014-06-19 |
| 1871796334 | Fox Army Health Center | Clinic/Center | 4100 Goss Rd Sw, Usadc-1, Huntsville, AL 35809-0001 | 2007-06-11 |
| 1487609962 | Fox Army Health Center | Clinic/Center | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2006-05-23 |
| Street Address |
USA MEDDAC BLDG 4100 GOSS RD |
| City | REDSTONE ARSENAL |
| State | AL |
| Zip Code | 35809-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689740904 | Amy Felice Sellers | Social Worker | Usa Meddac, Attn Mcxw Qm, Redstone Arsenal, AL 35809 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366952442 | Jo-ann Anita Taalib | Social Worker | 300 Goss Rd, Redstone Arsenal, AL 35809 | 2017-10-03 |
| 1750313540 | David Lawrence Kesting | Physical Therapist | Fox Army Health Center 4100 Goss Rd, Redstone Arsenal, AL 35809 | 2006-07-06 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1972505360 | Carter Joe Hale | Internal Medicine | 4100 Goss Rd, Fox Army Health Center, Redstone Arsenal, AL 35809 | 2005-08-15 |
| 1659721181 | Katherine Brown | Dental Hygienist | Bldg 4100 Goss Rd, Redstone Arsenal Dental Clinic, Redstone Arsenal, AL 35809 | 2016-06-15 |
| 1346210861 | Reagon Percy Carr | Social Worker | 4100 Goss Rd Sw, Usa Meddac Attn: Credentials, Huntsville, AL 35809-0001 | 2006-01-26 |
| 1497260186 | Jessica Danielle Teachout | Dietitian, Registered | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2017-12-04 |
| 1396271375 | Jeffrey Middleton | Physical Therapist | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2017-05-11 |
| 1184170607 | Susan Landgraff | Social Worker | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2016-08-26 |
| 1487068201 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 | 2014-06-19 |
| Find all providers in zip 35809 | ||||
| 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 |
|---|---|---|---|---|
| 1346349495 | United States Army Aeromedical Center | Military/U.S. Coast Guard Pharmacy | Dustoff Ave Bldg 301, Ft Rucker, AL 36362-5333 | 2006-09-22 |
| 1982010351 | United States Army Aeromedical Center | Military/U.S. Coast Guard Pharmacy | 301 Andrews Avenue, Fort Rucker, AL 36362-5350 | 2014-07-07 |
| 1487068201 | Fox Army Health Center | Military/U.S. Coast Guard Pharmacy | 4100 Goss Rd Sw, Fox Army Health Center, Huntsville, AL 35809-0001 | 2014-06-19 |
| 1558549121 | United States Army Aeromedical Center | Military/U.S. Coast Guard Pharmacy | 5th Ave, Bldg 4405, Ft. Rucker, AL 36362-5333 | 2008-02-06 |
| City | REDSTONE ARSENAL |
| Zip Code | 35809 |
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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.