KELLER ARMY COMMUNITY HOSPITAL (NPI# 1235334392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235334392 |
| Entity Type | Organization |
| Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Other Organization Name | USADC WEST POINT SAUNDERS |
| Practice Address |
606 Cullum Road Building 606 West Point NY 10996 |
| Mailing Address |
900 Washington Rd Attn: Mcud-rmd-ubo West Point NY 10996-1109 |
| Practice Telephone | 8459384034 |
| Mailing Telephone | 8459388239 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | KENNETH TUFFY (UBO MANAGER) |
| Authorized Official Telephone | 8459388239 |
| Is Organization Subpart | Y |
| Parent Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| 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 WEST POINT SAUNDERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1861898942 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 114 White Ave, Brooklyn, NY 11252-9503 | 2014-11-17 |
| 1497160113 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Keller Army Community Hospital, Building 900 900 Washington Road, West Point, NY 10996-1197 | 2014-06-23 |
| Street Address |
606 CULLUM ROAD BUILDING 606 |
| City | WEST POINT |
| State | NY |
| Zip Code | 10996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838821 | Alexander Clifford Lane | Specialist/Technologist | 700 Mills Road, West Point, NY 10996 | 2018-10-25 |
| 1912182080 | Linda A Terribile | Licensed Practical Nurse | 900 Washington Road, Keller Army Community Hospital, West Point, NY 10996 | 2008-01-08 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1902989452 | Donna Wiener-levy | Psychologist | Us Military Academy, Scott Barracks, Building 735, 51st Division, West Point, NY 10996 | 2006-10-20 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1932151024 | Lucille Catherine Larney | Psychologist | Kach Behavioral Health Clinic, Bldg 606-3m, West Point, NY 10996 | 2006-05-17 |
| 1669423315 | Thorpe Clarke Whitehead | Dentist | Saunders Dental Clinic, 646 Swift Creek Road, West Point, NY 10996 | 2006-05-15 |
| 1205891876 | Nancy G Brown | Physical Therapist | Washington Rd, Keller Army Community Hospital, West Point, NY 10996 | 2006-04-18 |
| 1114981784 | Michael Robert Johnson | Physical Therapist | Keller Army Community Hospital, Arvin Gymnasium, 900 Washington Road, West Point, NY 10996 | 2006-04-12 |
| Find all providers in zip 10996 | ||||
| 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 |
|---|---|---|---|---|
| 1881899987 | Keller Army Community Hospital | Clinic/Center | 900 Washington Rd, West Point, NY 10996-1109 | 2007-06-19 |
| 1205042017 | Keller Army Community Hospital | Clinic/Center | 900 Washington Rd, Bldg 606, West Point, NY 10996-1109 | 2007-05-16 |
| 1124234935 | Keller Army Community Hospital | Clinic/Center | 900 Washington Rd, Bldg 606, West Point, NY 10996-1109 | 2007-05-16 |
| 1528161916 | Keller Army Community Hospital | Clinic/Center | 900 Washington Rd, West Point, NY 10996-1197 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1962823575 | Guthrie Ahc | Clinic/Center | 11050 Mount Beledere Blvd, Fort Drum, NY 13602 | 2013-12-27 |
| 1548681240 | Guthrie Ahc | Clinic/Center | 5th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1750578977 | Branch Medical Clinic Saratoga Springs | Clinic/Center | 1 West Ave Ste 2, Saratoga Springs, NY 12866-6045 | 2007-10-02 |
| 1811192594 | Guthrie Ahc | Clinic/Center | 10720 Mt Belvedere Blvd, Suite A1-102, Fort Drum, NY 13602-5040 | 2007-06-20 |
| 1770553752 | Uscg Sector New York | Clinic/Center | 215 Drum Road, Room D-113, Staten Island, NY 10305 | 2006-01-24 |
| 1366863060 | Guthrie Ahc | Clinic/Center | 4th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1144565797 | Guthrie Ahc | Clinic/Center | 40 Franklin St, Carthage, NY 13619-1377 | 2012-12-10 |
| 1740486091 | Guthrie Ahc | Clinic/Center | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2007-06-25 |
| 1457556136 | Guthrie Ahc | Clinic/Center | 10205 N Riva Ridge Loop, Suite P10205, Fort Drum, NY 13602-5457 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 10996 |
Please comment or provide details below to improve the information on KELLER 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.