WINN-THRID PARTY INSURANCE (NPI# 1457567281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457567281 |
| Entity Type | Organization |
| Organization Name | WINN-THRID PARTY INSURANCE |
| Other Organization Name | LLOYD C. HAWKS TMC-FT. STEWART |
| Practice Address |
192 Lindquist Road Bldg 412 Ft Stewart GA 31314 |
| Mailing Address |
1061 Harmon Ave Ste 1d03 Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356633 |
| Mailing Telephone | 9124356037 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | HENRY FORD (CHIEF, UBO) |
| Authorized Official Telephone | 9124356175 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINN-THRID PARTY INSURANCE |
| 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 WINN ACH NPI | 1225081136 | 01 |
| Other Name | Type Code |
|---|---|
| LLOYD C. HAWKS TMC-FT. STEWART | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275929770 | Winn-thrid Party Insurance | Clinic/Center | 952 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
| 1528454022 | Winn-thrid Party Insurance | Clinic/Center | 1746 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
| 1235442328 | Winn-thrid Party Insurance | Clinic/Center | 2451a Hwy 17, Station Shopping Center, Richmond Hill, GA 31324-6422 | 2010-07-19 |
| 1417151788 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Building 2115, Suite 100, Fort Stewart, GA 31314 | 2007-06-12 |
| 1235333592 | Winn-thrid Party Insurance | Clinic/Center | 434 Vanguard Road, Fort Stewart, GA 31314 | 2007-06-12 |
| 1912101270 | Winn-thrid Party Insurance | Clinic/Center | 55 Pony Soldier Road, Building 253-s, Fort Stewart, GA 31314 | 2007-06-12 |
| 1437353778 | Winn-thrid Party Insurance | Clinic/Center | 320 Harmon Avenue, Suite 2j11b, Fort Stewart, GA 31314 | 2007-06-12 |
| 1932302437 | Winn-thrid Party Insurance | Clinic/Center | Bldg 440 6th Street and Gulick Ave, Fort Stewart, GA 31314-5641 | 2007-06-11 |
| 1780955104 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Troop Med Clinic-ft. Stewart, Fort Stewart, GA 31314 | 2012-01-17 |
| 1669676953 | Winn-thrid Party Insurance | Clinic/Center | 230 Duncan Dr, Bldg 1440, Suite C121, Savannah, GA 31409-5102 | 2007-06-12 |
| Street Address |
192 LINDQUIST ROAD BLDG 412 |
| City | FT STEWART |
| State | GA |
| Zip Code | 31314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| 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 |
|---|---|---|---|---|
| 1275929770 | Winn-thrid Party Insurance | Clinic/Center | 952 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
| 1528454022 | Winn-thrid Party Insurance | Clinic/Center | 1746 William H. Wilson Ave, Fort Stewart, GA 31314 | 2015-04-10 |
| 1235442328 | Winn-thrid Party Insurance | Clinic/Center | 2451a Hwy 17, Station Shopping Center, Richmond Hill, GA 31324-6422 | 2010-07-19 |
| 1053624130 | Martin Army Community Hospital | Clinic/Center | 6976 Old Cusseta Rd, Harmony Church, Fort Benning, GA 31905-5431 | 2010-07-19 |
| 1063616266 | Martin Army Community Hospital | Clinic/Center | 9200 Mame Road, Fort Benning, GA 31905 | 2007-06-12 |
| 1417151788 | Winn-thrid Party Insurance | Clinic/Center | 306 Vanguard Road, Building 2115, Suite 100, Fort Stewart, GA 31314 | 2007-06-12 |
| 1588868848 | Eisenhower Army Medical Center | Clinic/Center | 320 Hospital Road, Fort Gordon, GA 30905 | 2007-06-12 |
| 1235333592 | Winn-thrid Party Insurance | Clinic/Center | 434 Vanguard Road, Fort Stewart, GA 31314 | 2007-06-12 |
| 1245434448 | Martin Army Community Hospital | Clinic/Center | 2622 Soldiers Plaza, Fort Benning, GA 31905 | 2007-06-12 |
| 1912101270 | Winn-thrid Party Insurance | Clinic/Center | 55 Pony Soldier Road, Building 253-s, Fort Stewart, GA 31314 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
| City | FT STEWART |
| Zip Code | 31314 |
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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.