BAVARIA MEDDAC (NPI# 1174739924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174739924 |
| Entity Type | Organization |
| Organization Name | BAVARIA MEDDAC |
| Other Organization Name | AHC GRAFENWOEHR |
| Practice Address |
Unit 28130 Apo AE 09114 |
| Mailing Address |
Cmr 402 Bld 3700 Apo AE 09180 |
| Practice Telephone | 0114908003503104 |
| Mailing Telephone | 01149637194647400 |
| Enumeration Date | 2007-05-15 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY BAVARIA MEDDAC NPI | 1982778114 | 01 |
| Other Name | Type Code |
|---|---|
| AHC GRAFENWOEHR | 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 |
| 1104021849 | Bavaria Meddac | Clinic/Center | Cmr 416, Box A, Apo, AE 09140 | 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 |
| 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 |
UNIT 28130 |
| City | APO |
| State | AE |
| Zip Code | 09114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144608399 | Shanekia George | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2015-05-08 |
| 1326460163 | Kiki Williams | Licensed Vocational Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-14 |
| 1811319742 | Koshya Smoot | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-13 |
| 1972925030 | Michele Williams | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1144642208 | Donna Hill | Licensed Practical Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1487076543 | Elaine Pauken | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1073935136 | Rebekah Bushey | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1417379579 | Maressa Anderson | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1447672506 | Sherice Patton | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| 1497177554 | Marinda Miller-jaramillo | Registered Nurse | Unit 28130, Apo, AE 09114-8130 | 2014-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700253 | Udaya Dahal | Military Health Care Provider | Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 | 2020-05-06 |
| 1720645039 | Yesenia Tolentino | Dental Hygienist | Usag Bavaria Dental Clinics Vilseck/grafenwoehr Dental, Apo, AE 09114 | 2019-05-22 |
| 1376014332 | Onaonamapuanaokaawap Cunningham | Counselor | Grafenwohr Garrison Bldg 507, Apo, AE 09114 | 2018-12-16 |
| 1346723871 | James Kim Tash | Physician Assistant | Bldg 475, Grafenwoehr, BAVARIA 09114 | 2018-09-11 |
| 1306350434 | Lashette Marie Jordan | Dental Assistant | Grafenwohr Dentac, Apo, AE 09114 | 2017-11-28 |
| 1730607961 | Terry Monica Backus | Dental Hygienist | Grafewohr Dental Clinic, Apo, AE 09114 | 2017-09-08 |
| 1306363452 | Andrew Draper | Pharmacist | Bldg 475 Unit 28130, Apo Ae, NY 09114 | 2017-08-29 |
| 1518337922 | Debra Dotson | Clinic/Center | Cmr 415 Box 5689, Apo, AE 09114 | 2015-09-28 |
| 1366711178 | Jennifer H Tilley | Physical Therapist | Cmr 415 Box 4677, Apo, AE 09114 | 2011-12-22 |
| 1912274903 | Kimberlee Curry-mikulak | Dental Hygienist | Bdentac Unit 28130 Grafenwoehr, Apo, AE 09114 | 2011-11-19 |
| Find all providers in zip 09114 | ||||
| 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.