IRWIN ARMY COMMUNITY HOSPITAL (NPI# 1245339878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245339878 |
| Entity Type | Organization |
| Organization Name | IRWIN ARMY COMMUNITY HOSPITAL |
| Other Organization Name | RILEY MAIN PHCY |
| Practice Address |
650 Huebner Rd Ft Riley KS 66442 |
| Mailing Address |
650 Huebner Rd Ft Riley KS 66442-4030 |
| Practice Telephone | 7852397724 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-15 |
| 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 | 2026878 | 01 |
| Other Name | Type Code |
|---|---|
| RILEY MAIN PHCY | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Building 600, Caisson Hill Road, Ft Riley, KS 66442 | 7852397411 | 7852397487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1932421658 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 2210 Trooper Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1023330743 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 8072 Normandy Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1588991376 | Irwin Army Community Hospital | Clinic/Center | 7606 Parker St, Tbi Clinic, Ft Riley, KS 66442-4247 | 2009-11-16 |
| 1720214554 | Irwin Army Community Hospital | Clinic/Center | 602 Huebner Rd, Us Army Dental Clinic 2, Fort Riley, KS 66442-4030 | 2009-06-08 |
| 1770730152 | Irwin Army Community Hospital | Clinic/Center | 210 Custer Ave, Fort Riley, KS 66442-1101 | 2008-08-27 |
| 1992909824 | Irwin Army Community Hospital | Clinic/Center | Building 210, Custer Avenue, Fort Riley, KS 66442 | 2007-06-13 |
| 1184828311 | Irwin Army Community Hospital | Clinic/Center | 7670 Parker Road, Us Army Dental Clinic 3, Fort Riley, KS 66442 | 2007-06-12 |
| Street Address |
650 HUEBNER RD |
| City | FT RILEY |
| State | KS |
| Zip Code | 66442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023305 | Zachary Moore | Audiologist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-11-04 |
| 1861092041 | Kimberly Cavanagh | Registered Nurse | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-10-28 |
| 1437769395 | Suzanne Webb Cobleigh | Nurse Practitioner | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-08-05 |
| 1669081105 | Kimberly Dunaway | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-30 |
| 1912516089 | David Henry Hatesohl | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-24 |
| 1780124750 | Lori Fortin | Dietitian, Registered | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2017-02-24 |
| 1881076644 | Adam Christopher Henderson | Family Medicine | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-06-29 |
| 1588043822 | Lisa Sorell | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-05-19 |
| 1174936207 | Rey Agatep | Pediatrics | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2014-06-06 |
| 1780026807 | Kegan Mosier | Counselor | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1073970547 | Raymond Justin Myles Jr. | Psychologist | 609a Warrior Road, Fort Riley, KS 66442 | 2016-01-28 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| Find all providers in zip 66442 | ||||
| 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 |
|---|---|---|---|---|
| 1932421658 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 2210 Trooper Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1023330743 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 8072 Normandy Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1841352580 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Building 600, Ft Riley, KS 66442 | 2006-12-15 |
| 1316046949 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 600, Caisson Hill Road, Ft Riley, KS 66442 | 2006-09-21 |
| 1679637334 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Building 600, Ft Riley, KS 66442 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265814842 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 623 Southwind Drive, Junction City, KS 66441 | 2015-06-19 |
| 1740696095 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2014-07-08 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1639403090 | 22nd Medgp/sgsla | Military/U.S. Coast Guard Pharmacy | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2009-10-01 |
| 1457458200 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2006-09-20 |
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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.