121ST CSH/BAACH (NPI# 1548475619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548475619 |
| Entity Type | Organization |
| Organization Name | 121ST CSH/BAACH |
| Other Organization Name | AHC-CAMP WALKER-TAEGU |
| Practice Address |
Unit 2097 Camp Walker Apo AP 96278 |
| Mailing Address |
Box 316 Unit 15244 Apo AP 96205 |
| Practice Telephone | 01182279171410 |
| Mailing Telephone | 01182279171858 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | CHONG MCCUE (CHIEF, UBO) |
| Authorized Official Telephone | 01182279171857 |
| Is Organization Subpart | Y |
| Parent Organization Name | 121ST CSH/BAACH |
| 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 |
|---|---|---|---|
| NCPDP | 8210065 | 01 |
| Other Name | Type Code |
|---|---|
| AHC-CAMP WALKER-TAEGU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568660348 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 1665, Apo, AP 96205 | 2007-07-03 |
| 1811195696 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 3576, Apo, AP 96205 | 2007-07-03 |
| 1457559239 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 7005, Apo, AP 96205 | 2007-07-03 |
| 1730387515 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg S4034, Apo, AP 96205 | 2007-07-03 |
| 1306042494 | 121st Csh/baach | Clinic/Center | Unit 15658, Bldg 808, Apo, AP 96224 | 2007-06-25 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1215133301 | 121st Csh/baach | Clinic/Center | Unit 15660, Bldg 555, Apo, AP 96271 | 2007-06-25 |
| 1053517144 | 121st Csh/baach | Clinic/Center | Unit 15663, Bldg 600, Apo, AP 96297 | 2007-06-25 |
| 1700082880 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 5107, Apo, AP 96205 | 2007-06-25 |
| 1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
| Street Address |
UNIT 2097 CAMP WALKER |
| City | APO |
| State | AP |
| Zip Code | 96278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659587418 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Long, Apo, AP 96278 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310832 | Elissa Nicole Beebe | Physician Assistant | Paf 51 Medical Operations Sq Ffm 130, Osan Ab, KOREA 96278 | 2015-11-05 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
| 1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
| 1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
| 1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
| 1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
| 1225028368 | Carrie Ashby Gregory | Emergency Medicine | 51st Medical Group, Unit 2060, Apo, AP 96278 | 2005-10-27 |
| Find all providers in zip 96278 | ||||
| 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 |
|---|---|---|---|---|
| 1891982518 | Jtf-b Med El-honduras | Clinic/Center | Unit 5700, Apo, AA 34042 | 2007-09-26 |
| 1568660348 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 1665, Apo, AP 96205 | 2007-07-03 |
| 1811195696 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 3576, Apo, AP 96205 | 2007-07-03 |
| 1457559239 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 7005, Apo, AP 96205 | 2007-07-03 |
| 1730387515 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg S4034, Apo, AP 96205 | 2007-07-03 |
| 1306042494 | 121st Csh/baach | Clinic/Center | Unit 15658, Bldg 808, Apo, AP 96224 | 2007-06-25 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1215133301 | 121st Csh/baach | Clinic/Center | Unit 15660, Bldg 555, Apo, AP 96271 | 2007-06-25 |
| 1053517144 | 121st Csh/baach | Clinic/Center | Unit 15663, Bldg 600, Apo, AP 96297 | 2007-06-25 |
| 1700082880 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 5107, Apo, AP 96205 | 2007-06-25 |
| Find all providers in APO | ||||
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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.