WALTER REED NATIONAL MILITARY MED CENTER (NPI# 1326147463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326147463 |
Entity Type | Organization |
Organization Name | WALTER REED NATIONAL MILITARY MED CENTER |
Other Organization Name | SUGAR GROVE PHCY |
Practice Address |
Bmc Bldg 63 Sugar Grove WV 26815 |
Practice Telephone | 3042496380 |
Practice Fax Number | 3042496379 |
Mailing Telephone | 3042496380 |
Mailing Fax Number | 3042496379 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2016-01-20 |
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 | 2111427 | 01 |
Other Name | Type Code |
---|---|
SUGAR GROVE PHCY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285733303 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 9501 Farrell Rd Bldg 808, Ft Belvoir, VA 22060-5901 | 2006-09-22 |
1649379363 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bldg 2 Rm 7817, Washington, DC 20012 | 2006-09-21 |
1194028407 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-12-08 |
1114081866 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 450 Gibner Rd, Carlisle Barracks, PA 17013-5090 | 2006-12-20 |
1093877086 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2006-12-15 |
1538221957 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
1841352358 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
1245392661 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
1275695777 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
1700948270 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2006-12-14 |
Street Address |
BMC BLDG 63 |
City | SUGAR GROVE |
State | WV |
Zip Code | 26815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558567511 | Naval Information Operations | Clinic/Center | 63 Hedrick Dr, Sugar Grove, WV 26815-5000 | 2007-06-26 |
1346743481 | Sugar Grove Mbh-ga, LLC | Substance Abuse Rehabilitation Facility | 133 Hedrick Dr, Sugar Grove, WV 26815-5068 | 2018-03-15 |
1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
1790399459 | Nancy Pultz | Technician | 72 Windy Mountain Ln, Sugar Grove, WV 26815-7574 | 2020-09-01 |
1730368226 | Jack Arnold Bowers | Dentist | Hc 63 Box 57, Sugar Grove, WV 26815-9501 | 2007-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598366411 | Jung Tao School of Classical Chinese Medicine | Acupuncturist | 207 Dale Adams Rd, Sugar Grove, NC 28679-9657 | 2020-11-06 |
1043824469 | Susan Bowden | Speech-Language Pathologist | 3s611 Finley Rd, Sugar Grove, IL 60554-9665 | 2020-09-02 |
1861027666 | Linda W Brinkman | Dietitian, Registered | 3s854 Finley Rd, Sugar Grove, IL 60554 | 2020-03-12 |
1336773977 | Steven Limbrunner | Specialist/Technologist | 1876 Fays Ln, Sugar Grove, IL 60554-9767 | 2020-02-22 |
1528607066 | Candice Grace Dubeau | Counselor | 1312 Slater St, Sugar Grove, IL 60554-9823 | 2020-01-01 |
1093351934 | Danielle M Ortiz | Behavior Technician | 1241 Dorr Dr, Sugar Grove, IL 60554-5469 | 2019-11-26 |
1770140493 | Ida Rosa Lampignano | Nurse Practitioner | 882 Edgewood Dr, Sugar Grove, IL 60554-9272 | 2019-05-29 |
1902370927 | Kristine Louise Kadolph Benavides | Nurse Practitioner | 1218 Mariemont Rd Unit A, Sugar Grove, IL 60554-9436 | 2019-01-12 |
1528543600 | Dawn Marie Kraus | Occupational Therapist | 915 Price Rd, Sugar Grove, IL 60554-5453 | 2018-09-25 |
1497244859 | Attentive Individualized Management Physical Therapy, LLC | Clinic/Center | 330b Division Dr, Sugar Grove, IL 60554 | 2018-05-01 |
Find all providers in SUGAR GROVE |
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 |
---|---|---|---|---|
1578662615 | Dewitt Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Tmc Bldg 215, Camp Dawson, WV 26537 | 2006-09-22 |
City | SUGAR GROVE |
Zip Code | 26815 |
Please comment or provide details below to improve the information on WALTER REED NATIONAL MILITARY MED CENTER.
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.