KELLER ARMY COMMUNITY HOSPITAL (NPI# 1528167970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167970 |
| Entity Type | Organization |
| Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Other Organization Name | DIX TMC PHCY |
| Practice Address |
18th St and Doughboy Loop Bldg 5660 Troop Medical Health Clinic Ft Dix NJ 08640 |
| Mailing Address |
900 Washington Rd Attn Mcud-rmd-ubo West Point NY 10996-1109 |
| Practice Telephone | 8459382271 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | Y |
| Parent Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3141734 | 01 | |
| PARENT FACILITY NPI | 1528161916 | 01 | |
| FACILITY NPI | 1275747149 | 01 |
| Other Name | Type Code |
|---|---|
| DIX TMC PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1861898942 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 114 White Ave, Brooklyn, NY 11252-9503 | 2014-11-17 |
| 1497160113 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Keller Army Community Hospital, Building 900 900 Washington Road, West Point, NY 10996-1197 | 2014-06-23 |
| Street Address |
18TH ST AND DOUGHBOY LOOP BLDG 5660 TROOP MEDICAL HEALTH CLINIC |
| City | FT DIX |
| State | NJ |
| Zip Code | 08640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841428174 | Joseph Nunzio Coyle | Military Health Care Provider | 5651 Texas Ave., Fort Dix, NJ 08640 | 2009-06-25 |
| 1114128832 | Philadelphia Va Medical Center | Clinic/Center | 8th and Alabama St, Building 5437, Fort Dix, NJ 08640 | 2007-05-30 |
| 1467653501 | Scott J Winters | Registered Nurse | United States Army, Walson Army Hospital, Ft Dix, NJ 08640 | 2007-05-29 |
| 1700091147 | Kenneth Harry Schmidt | Pharmacist | 5756 Hartford Road, Fort Dix, NJ 08640 | 2007-05-11 |
| 1669692943 | Robert Antonio Cabanas | Dentist | 5755 Hartford Rd, Fci Fort Dix, Fort Dix, NJ 08640 | 2007-04-27 |
| 1063569556 | Erwin Hillard Goldrich | Dentist | 5660 Doughboy Ave, Fort Dix, NJ 08640 | 2007-01-05 |
| 1407918022 | James Richard Ross | Dentist | 5660 Doughboy Loop, Mills Dental Clinic, Fort Dix, NJ 08640 | 2006-12-14 |
| 1235212358 | John Joseph Sweeney IIi | Internal Medicine | Eighth and Alabama, Outpatient Clinic At Marshall Hall, Fort Stdix, NJ 08640 | 2006-10-23 |
| 1154421196 | Anthony Louis Capone | Social Worker | 8th Streeet Building 5437, Fort Dix, NJ 08640 | 2006-09-22 |
| 1215041785 | Janis Marie Davidson | Nurse Practitioner | 5438 8th Street, Fort Dix, NJ 08640 | 2006-08-19 |
| Find all providers in zip 08640 | ||||
| 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 |
|---|---|---|---|---|
| 1710287198 | Lakehurst | Military/U.S. Coast Guard Pharmacy | 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2010-11-01 |
| 1104011667 | Atlantic City Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Amelia Earhart Road, Bldg 350, Atlantic City, NJ 08405-0001 | 2007-09-07 |
| 1346349792 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 | 2006-09-22 |
| 1255430609 | 87th Medical Group | Military/U.S. Coast Guard Pharmacy | Naval Weapon Station Earl Hwy 35, Leonardo, NJ 07737 | 2006-09-22 |
| 1164529913 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Munro Ave Bldg 270, Cape May, NJ 08204-5000 | 2006-09-20 |
| 1255438008 | Colts Neck Phcy | Military/U.S. Coast Guard Pharmacy | 201 State Route 34 S Bldg C3, Naval Weapons Station Earle, Colts Neck, NJ 07722-1902 | 2006-09-20 |
| 1518150598 | Green Valley Medical Equipment | Military/U.S. Coast Guard Pharmacy | 214 E Main St, Bound Brook, NJ 08805-2026 | 2007-08-22 |
| 1194889865 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Monmouth Poe Phcy, Fort Monmouth, NJ 07703-1518 | 2006-12-20 |
| 1437258886 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Bldg 1075 Monmouth Op Phcy, Fort Monmouth, NJ 07703-1518 | 2006-09-22 |
| 1881650141 | 87 Medical Group | Military/U.S. Coast Guard Pharmacy | 3458 Neely Rd, Mdss Sgsbr, Mc Guire Afb, NJ 08641-5312 | 2006-04-25 |
| Find all providers with the same taxonomy | ||||
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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.