DEWITT ARMY COMMUNITY HOSPITAL (NPI# 1447783378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447783378 |
| Entity Type | Organization |
| Organization Name | DEWITT ARMY COMMUNITY HOSPITAL |
| Other Organization Name | FAIRFAX HD PHCY |
| Practice Address |
10580 Arrowhead Dr Fairfax VA 22030-7301 |
| Mailing Address |
9501 Farrell Rd Ste Gc 11 Fort Belvoir VA 22060-5901 |
| Practice Telephone | 3014000912 |
| Practice Fax Number | 3012954662 |
| Mailing Telephone | 3012954662 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168778 | 01 |
| Other Name | Type Code |
|---|---|
| FAIRFAX HD PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588711626 | Dewitt Army Community Hospital | Nursing Facility/Intermediate Care Facility | 13605 Bottner Ct, Woodbridge, VA 22191-1900 | 2007-01-04 |
| 1578662615 | Dewitt Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Tmc Bldg 215, Camp Dawson, WV 26537 | 2006-09-22 |
| 1407830797 | Dewitt Army Community Hospital | Military Hospital | 13226 Hawthorn Ln, Woodbridge, VA 22193-5161 | 2005-12-01 |
| 1356874283 | Dewitt Army Community Hospital | Pharmacy | 3700 Fettler Park Dr, Dumfries, VA 22025-2050 | 2017-04-07 |
| 1235386418 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Emergency Department, Fort Belvoir, VA 22060-5901 | 2008-08-19 |
| 1467519983 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2007-01-03 |
| 1104983436 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2007-01-03 |
| 1285609800 | Dewitt Army Community Hospital | Clinic/Center | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2006-02-17 |
| 1366427643 | Dewitt Army Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-12-09 |
| Street Address |
10580 ARROWHEAD DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922031293 | Renata A Nowak | Internal Medicine | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2006-07-09 |
| 1730746793 | Yoon J. Kong | Pharmacist | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2019-05-24 |
| 1083089031 | Lekeithia Wilkes | Nurse Practitioner | 10580 Arrowhead Dr, Fairfax, VA 22030 | 2015-12-02 |
| 1194122564 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2014-12-01 |
| 1821342338 | Sara Yeon Stalcup | Pharmacist | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2012-11-06 |
| 1669743571 | Melissa Munro Boyd | Psychologist | 10580 Arrowhead Dr, Fort Belvoir Community Hospital, Fairfax, VA 22030 | 2012-01-24 |
| 1720241110 | Sanskruti Upasani | Psychiatry & Neurology | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2008-07-07 |
| 1245405836 | Monica Gin | Pediatrics | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2008-04-24 |
| 1376758193 | Fort Belvoir Community Hospital | Clinic/Center | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2007-05-14 |
| 1194853846 | Phyllis Brodie | Psychologist | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1194122564 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2014-12-01 |
| 1780746776 | Fort Belvoir Community Hospital | Military/U.S. Coast Guard Pharmacy | 2740 Prosperity Ave, Fairfax, VA 22031 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172183 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 | 2019-09-11 |
| 1114403961 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 7021 Harbor View Blvd, Suffolk, VA 23435-2869 | 2018-07-16 |
| 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 |
| 1508270950 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 | 2014-06-13 |
| 1205249059 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 | 2014-06-10 |
| 1467680819 | World Class Marketing Inc | Military/U.S. Coast Guard Pharmacy | 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 | 2009-06-24 |
| 1609966936 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 | 2006-10-16 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1659470771 | 1st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 65 Spaatz Dr, Langley Afb, VA 23665-2027 | 2006-09-22 |
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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.