WINN ARMY COMMUNITY HOSPITAL (NPI# 1225435068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225435068 |
| Entity Type | Organization |
| Organization Name | WINN ARMY COMMUNITY HOSPITAL |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356056 |
| Mailing Telephone | 9124356056 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | DR. JAMES MCCLELLAN JR. (RADIOLOGIST) |
| Authorized Official Telephone | 9124355883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558757633 | Winn Army Community Hospital | Clinic/Center | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-04-15 |
| 1013318377 | Winn Army Community Hospital | Pharmacy | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-05 |
| 1578964839 | Winn Army Community Hospital | Pharmacy | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-05 |
| 1457781833 | Winn Army Community Hospital | Military Hospital | 1061 Harmon Ave, Winn Army Community Hospital; Credentials Office, Fort Stewart, GA 31314-5641 | 2013-11-20 |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417307190 | Sanghyub Lee | Military Hospital | 411 E 9th St # 74, Fort Stewart, GA 31314-5036 | 2016-06-14 |
| 1508312869 | Debbie Speed-simmons | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-08-28 |
| 1679962468 | Jamie Vander Ark | Military Hospital | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2015-01-15 |
| 1770980393 | Sylvia Russ | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-25 |
| 1720483860 | Ronald Mcneal Jr. | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-10-31 |
| 1689076002 | Defense Finance & Actg Serv | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-17 |
| 1457781833 | Winn Army Community Hospital | Military Hospital | 1061 Harmon Ave, Winn Army Community Hospital; Credentials Office, Fort Stewart, GA 31314-5641 | 2013-11-20 |
| 1407175367 | Tarek Mohamed Aly Khalil | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2010-05-18 |
| 1114184777 | Federal Government | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2008-05-21 |
| 1093714461 | Wach,fort Stewart,ga | Military Hospital | 1061 Harmon Ave, Suite 1 Do3 Pediatric Clinic, Fort Stewart, GA 31314-5604 | 2005-07-19 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on WINN ARMY COMMUNITY HOSPITAL.
| 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.