FORT BELVOIR COMMUNITY HOSPITAL (NPI# 1285849000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285849000 |
| Entity Type | Organization |
| Organization Name | FORT BELVOIR COMMUNITY HOSPITAL |
| Other Organization Name | DUMFRIES HEALTH CENTER |
| Practice Address |
3700 Fettler Park Dr Dumfries VA 22025-2050 |
| Mailing Address |
9300 Dewitt Loop Attn Tpcp Fort Belvoir VA 22060-5901 |
| Practice Telephone | 7034417500 |
| Mailing Telephone | 5712312856 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | OSCAR HARTLEY (UBO MANAGER) |
| Authorized Official Telephone | 5712312866 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORT BELVOIR 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY NPI | 1134294705 | 01 |
| Other Name | Type Code |
|---|---|
| Dumfries Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437563269 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 | 2014-06-19 |
| 1316044175 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-09-20 |
| 1194122564 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2014-12-01 |
| 1023415825 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2014-11-24 |
| 1134532930 | Fort Belvoir Community Hospital | Military Hospital | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2014-06-09 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1396026423 | Fort Belvoir Community Hospital | Clinic/Center | 9300 Dewitt Loop, Dental Clinic, Fort Belvoir, VA 22060 | 2011-09-02 |
| 1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
| 1376758193 | Fort Belvoir Community Hospital | Clinic/Center | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2007-05-14 |
| 1780746776 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 2740 Prosperity Ave, Fairfax, VA 22031 | 2006-12-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FORT BELVOIR COMMUNITY HOSPITAL | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 |
| Street Address |
3700 FETTLER PARK DR |
| City | DUMFRIES |
| State | VA |
| Zip Code | 22025-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316044175 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-09-20 |
| 1700402146 | Heather L. Bebout | Social Worker | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2020-06-22 |
| 1962903633 | Quynh-anh Rose | Pharmacist | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2018-02-27 |
| 1356874283 | Dewitt Army Community Hospital | Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2017-04-07 |
| 1023415825 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2014-11-24 |
| 1265707160 | Kenya Michelle Wade | Nurse Practitioner | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2012-03-12 |
| 1275843203 | Caitlin E Walker | Occupational Therapist | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2010-10-08 |
| 1265648935 | Kimberly Carter | Psychologist | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2007-05-16 |
| 1093877086 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-12-15 |
| 1093882268 | Beth Ann Herndon | Social Worker | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
| 1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
| 1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
| 1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
| 1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
| 1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
| 1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
| 1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
| 1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
| Find all providers in zip 22025 | ||||
| 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 |
|---|---|---|---|---|
| 1215218342 | Kenner Army Health Clinic | Clinic/Center | 8204 Ave C, Fort Lee, VA 23801-1716 | 2011-09-02 |
| 1801043252 | Kenner Ahc | Clinic/Center | 14115 Montague Rd, Fort A P Hill, VA 22427-3115 | 2008-08-27 |
| 1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
| 1821281908 | Branch Medical Clinic Ocs Brown Field | Clinic/Center | 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 | 2007-08-22 |
| 1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
| 1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
| 1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
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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.