MADIGAN ARMY MEDICAL CENTER (NPI# 1649624453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649624453 |
| Entity Type | Organization |
| Organization Name | MADIGAN ARMY MEDICAL CENTER |
| Practice Address |
9040a Jackson Ave Att: Mchj-c-e Tacoma WA 98431-0001 |
| Mailing Address |
9040a Jackson Ave Att: Mcjj-cls-e Tacoma WA 98431 |
| Practice Telephone | 2539680476 |
| Practice Fax Number | 2539683154 |
| Mailing Telephone | 2549680476 |
| Mailing Fax Number | 2539683154 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | MS. PATRICIA MASKO FIELD (REGISTERED NURSE) |
| Authorized Official Telephone | 2539680476 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | RN00054618 | WA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932406584 | Madigan Army Medical Center | Military Hospital | Bldg 2008b 3rd Avenue N, Tacoma, WA 98431-0001 | 2011-02-17 |
| 1740421460 | Madigan Army Medical Center | Military Hospital | Mamc Dept of Psychology, Bldg 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2009-03-09 |
| 1336310267 | Madigan Army Medical Center | Military Hospital | Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-03-19 |
| 1205898871 | Madigan Army Medical Center | Social Worker | 437 Cabrillo St, Suite Aia -us Army Health Clinic, Presido of Monterey, CA 93944 | 2006-04-06 |
| 1497270342 | Madigan Army Medical Center | Clinic/Center | 201 9th Street, Marina, CA 93933 | 2017-08-11 |
| 1003350687 | Madigan Army Medical Center | Military Hospital | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2016-12-15 |
| 1124476833 | Madigan Army Medical Center | Clinic/Center | 9040 Jackson Avenue, Apo, AA 98431 | 2016-06-03 |
| 1578927794 | Madigan Army Medical Center | Nursing Facility/Intermediate Care Facility | 9040 A Jackson Ave, Tacoma, WA 98431-1100 | 2016-04-13 |
| 1346608924 | Madigan Army Medical Center | Military Hospital | Madigan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-02-10 |
| 1578930749 | Madigan Army Medical Center | Clinic/Center | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-24 |
| Street Address |
9040A JACKSON AVE ATT: MCHJ-C-E |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905249 | Richard Lyle Urbon Jr. | Internal Medicine | 9040a Jackson Ave, Tacoma, WA 98431-6283 | 2005-10-11 |
| 1962003111 | Zachary Tegen | Spec/Tech, Cardiovascular | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2020-11-04 |
| 1225681968 | Elena Brooke Haymond | Social Worker | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-22 |
| 1326529116 | Molly Glockling | Nurse Practitioner | 9040a Jackson Ave, Tacoma, WA 98431-1130 | 2018-08-28 |
| 1972009108 | Joshua Davey Read | Student in an Organized Health Care Education/Training Program | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2018-04-05 |
| 1114434701 | Timothy Edward Hausmann | Nurse Anesthetist, Certified Registered | 9040a Jackson Ave, Tacoma, WA 98431-5656 | 2018-01-04 |
| 1003350687 | Madigan Army Medical Center | Military Hospital | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2016-12-15 |
| 1962866921 | Christina Renee Yoon | Registered Nurse | 9040a Jackson Ave, Attn: Mchj-clq-q, Christina Yoon Rn, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1174996292 | Sara Whitney Young | Dietitian, Registered | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2015-11-11 |
| 1720472053 | Jonathan Pickett | Family Medicine | 9040a Jackson Ave, Tacoma, WA 98431-1000 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309098 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2005-07-12 |
| 1821460916 | Multicare | General Acute Care Hospital | 1901 S Union Ave, Inpatient Pharmacy, Tacoma, WA 98405-1702 | 2015-10-28 |
| 1467834945 | Chi Franciscan | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2015-06-22 |
| 1922300169 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2010-11-19 |
| 1336465004 | St Joseph Medical Center | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2010-04-20 |
| 1427374198 | St Josheph Medical Center | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2010-04-20 |
| 1124291117 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2008-04-10 |
| 1548439714 | Va Puget Sound Healthcare System | General Acute Care Hospital | 9600 Veterans Dr, Tacoma, WA 98493-0001 | 2008-02-21 |
| 1366556227 | Multicare Health System | General Acute Care Hospital | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-08-18 |
| 1831115302 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2006-07-15 |
| Find all providers in TACOMA | ||||
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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.