US ARMY


Address: 1320 Truemper St Unit 369401, Jbsa Lackland Afb, Lackland Afb, TX 78236-6094
Phone: 5024092981

US ARMY (NPI# 1407205065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407205065
Entity Type Organization
Organization Name US ARMY
Practice Address 1320 Truemper St Unit 369401
Jbsa Lackland Afb
Lackland Afb
TX 78236-6094
Practice Telephone 5024092981
Mailing Telephone 5024092981
Enumeration Date 2016-06-05
Last Update Date 2016-06-05
Authorized Official Name DR. FARZAN L POURANFAR (GENERAL DENTIST)
Authorized Official Telephone 5024092981
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 9175 KY Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003209735 Us Army Emergency Medical Technician, Paramedic 1790 William H Wilson Ave, Fort Stewart, GA 31314-3100 2015-03-04
1861899536 Us Army Clinic/Center 8800 Main St, Apt 408c, Fort Drum, NY 13603-2159 2014-11-24
1487058780 Us Army Clinic/Center 703 E 9 Street, Fort Stewart, GA 31314 2014-10-15
1578904819 Us Army Clinic/Center Usahc Schweinfurt, Unit 25850 Box 7, Apo, AE 09033 2013-07-16
1003192428 Us Army Military Hospital 6582 Magarath Street, Fort Carson, CO 80913 2011-10-31
1003051210 Us Army Clinic/Center 5587 Lockridge Road, Fayetteville, NC 28311 2008-12-03
1649479700 Us Army General Acute Care Hospital 2695 E 131st Ave, Thornton, CO 80241-2046 2007-07-17
1114123726 Us Army Physician Assistant Hhs 6-37fa, 2id, Unit#15410 Apo Ap 96224, Tongduchon, KYUNGKIDO APO AP 96224 2007-06-22
1881788834 Us Army Military Health Care Provider 42 Ne Pheasant Ln, Lawton, OK 73507-8850 2006-10-03
1902914336 Us Army Military Hospital Cmr 415 Box 4364, Apo, AE 09114-4300 2006-08-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities US ARMY AEROMEDICAL RESEARCH LAB 6901 Farrel Rd, Fort Rucker, AL 36362
System for Award Management (SAM) Entities US ARMY CCDC SOLDIER CENTER 10 General Greene Ave, Natick, MA 01760-2612
System for Award Management (SAM) Entities US ARMY COMMUNITY/FAMILY SUPPORT CENTER 2455 Reynolds Rd, Fort Sam Houston, TX 78234-7588
System for Award Management (SAM) Entities US ARMY MEDICAL RESEARCH INSTITUTE OF CHEMICAL DEFENSE E2900 Ricketts Point Rd, Aberdeen Proving Ground, MD 21010
Oklahoma Business Registrations US ARMY WOMEN''S FOUNDATION 1831 A Ave #308b, Fort Lee, VA 23801

Office Location

Street Address 1320 TRUEMPER ST UNIT 369401
JBSA LACKLAND AFB
City LACKLAND AFB
State TX
Zip Code 78236-6094

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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Competitor

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City LACKLAND AFB
Zip Code 78236

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Dataset Information

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.

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