MILITARY TREATMENT FACILITY (NPI# 1265845036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265845036 |
| Entity Type | Organization |
| Organization Name | MILITARY TREATMENT FACILITY |
| Other Organization Name | DOD BUCKLEY EPHCY |
| Practice Address |
13611 E. Colfax Ave. Buckley Afb CO 80011-9547 |
| Mailing Address |
Military Treatment Facility C/o Mrs. Ora Dee Cartwright 275 S. Aspen St. Stop 89 Aurora CO 80011-9562 |
| Practice Telephone | 7208476049 |
| Practice Fax Number | 7208475289 |
| Mailing Telephone | 7208476049 |
| Mailing Fax Number | 7208477463 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2016-04-18 |
| 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 | 2145979 | 01 |
| Other Name | Type Code |
|---|---|
| DoD BUCKLEY ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507420 | Military Treatment Facility | Clinic/Center | 275 S Aspen St, Stop 89, Aurora, CO 80011-9562 | 2005-11-30 |
| Street Address |
13611 E. COLFAX AVE. |
| City | BUCKLEY AFB |
| State | CO |
| Zip Code | 80011-9547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| 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 |
|---|---|---|---|---|
| 1932206786 | 460th Medical Logistics Whs | Military/U.S. Coast Guard Pharmacy | 317 N Telluride St, Bldg 7, Buckley Afb, CO 80011-7809 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012922 | 21st Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy Bldg 220, Colorado Springs, CO 80912-5005 | 2015-05-14 |
| 1982010955 | Usafa 10th Medical Group/sgsbr | Military/U.S. Coast Guard Pharmacy | 8118 Park Dr, Usaf Academy, CO 80840-2397 | 2014-07-10 |
| 1861623936 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 3220 Union Blvd, Colorado Springs, CO 80907-4900 | 2009-08-06 |
| 1518173236 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7490 Sutherland Circle, Robinson Family Medicine Clinic, Fort Carson, CO 80913-4603 | 2007-05-16 |
| 1164512497 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Evans Ach 7500 Cochrane Circle, Evans Army Community Hospital, Ft Carson, CO 80913-4603 | 2006-10-16 |
| 1679672380 | 21 Medical Group | Military/U.S. Coast Guard Pharmacy | 220 Falcon Pkwy, Schriever Afb, CO 80912-5005 | 2006-09-21 |
| 1518066273 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 6351 Wetzel Ave, Bldg 1525, Ft Carson, CO 80913-4188 | 2006-09-21 |
| 1114026820 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 7490 Southerland Circle, Robinson Clinic, Ft Carson, CO 80913 | 2006-09-21 |
| 1043319858 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 6911 Titus Blvd Bldg 2353, Ft Carson, CO 80913-4429 | 2006-09-21 |
| 1841397692 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 8119 Park Dr, Usaf Academy, CO 80840-2397 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | BUCKLEY AFB |
| Zip Code | 80011 |
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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.