ELLINGTON FIELD SATELLITE CLINIC (NPI# 1689736670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689736670 |
| Entity Type | Organization |
| Organization Name | ELLINGTON FIELD SATELLITE CLINIC |
| Practice Address |
Commanding Officer Uscg Air Station Houston 1178 Ellington Field Houston TX 77034 |
| Mailing Address |
Comdt (cg-1122) Us Coast Guard 2100 2nd St Ste 5314 Washington DC 20593-0001 |
| Practice Telephone | 2819292421 |
| Mailing Telephone | 2024755182 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RITA SHAPIRO (CDR) |
| Authorized Official Telephone | 2024755182 |
| Is Organization Subpart | N |
| 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 |
| Street Address |
COMMANDING OFFICER USCG AIR STATION HOUSTON 1178 ELLINGTON FIELD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881222990 | See N Focus | Optometrist | 1117 Edgebrook Drive, Houston, TX 77034 | 2020-04-01 |
| 1023579273 | Clear Creek Healthcare, Inc. | Hospice Care, Community Based | 12600 N Featherwood Dr Ste 108, Houston, TX 77034 | 2019-03-29 |
| 1639670052 | Francine Chambers | Licensed Vocational Nurse | 722 Edgebrook, Houston, TX 77034 | 2018-02-21 |
| 1164949699 | Clara Golden | Massage Therapist | 12711 Fuqua Suite 111, Houston, TX 77034 | 2017-08-25 |
| 1720503956 | Optinfusion Solution, LLC | Internal Medicine | 12553 Gulf Freeway, Houston, TX 77034 | 2017-08-09 |
| 1275060527 | Cbcs Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 12555 Gulf Freeway, Suite B, Houston, TX 77034 | 2017-05-17 |
| 1184155178 | Jermetrice Nicole Alford | Massage Therapist | 12801 Roydon Dr, Apt #818, Houston, TX 77034 | 2017-03-22 |
| 1134573264 | Forever Young Adult Care | Preferred Provider Organization | 12801 Roydon Dr. Apt 2215, Houston, TX 77034 | 2016-04-14 |
| 1700259702 | Raymond Christian Sabo | Contractor | 10718 Wall Fern Way, Houston, TX 77034 | 2015-11-12 |
| 1831597574 | Better Life Activity Center | Clinic/Center | 12817 Gulf Freeway, Houston, TX 77034 | 2014-12-11 |
| Find all providers in zip 77034 | ||||
| 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 |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| 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.