USS TRANQ - TURN TWO PHCY (NPI# 1407918360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407918360 |
| Entity Type | Organization |
| Organization Name | USS TRANQ - TURN TWO PHCY |
| Practice Address |
3420 Illinois Street Great Lakes IL 60088 |
| Practice Telephone | 8476887406 |
| Mailing Telephone | 8476887406 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | HECTOR MORALES (PHARMACY OPERATIONS CENTER MGR) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Street Address |
3420 ILLINOIS STREET |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770544835 | Jerome Thomas Campbell II | Physician Assistant | 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088-5230 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| 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 |
|---|---|---|---|---|
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1831406719 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 | 2010-09-13 |
| 1790092674 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 | 2010-09-13 |
| 1508965120 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2006-09-21 |
| 1336248962 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 | 2006-09-21 |
| 1538574777 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-06-26 |
| 1316254295 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St, Bldg 237, Great Lakes, IL 60088-2942 | 2010-09-13 |
| 1710294681 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3001 6th St Ste A, Bldg 200h Pharmacy, Great Lakes, IL 60088-2833 | 2010-09-13 |
| 1407955032 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3420 Illinois St, Uss Tranquilityah14 Med Cln 1017, Great Lakes, IL 60088-3161 | 2006-09-21 |
| Find all providers in GREAT LAKES | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on USS TRANQ - TURN TWO PHCY.
| 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.