NAVAL HEALTH CLINIC CHARLESTON (NPI# 1770517658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770517658 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC CHARLESTON |
| Practice Address |
110 Nnptc Circle Ubo/tpc Goose Creek SC 29445 |
| Mailing Address |
110 Nnptc Circle Goose Creek SC 29445 |
| Practice Telephone | 8437946088 |
| Practice Fax Number | 8437946042 |
| Mailing Telephone | 8437946088 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC CHARLESTON |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841399011 | Naval Health Clinic Charleston | Military/U.S. Coast Guard Pharmacy | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2006-09-22 |
| Street Address |
110 NNPTC CIRCLE UBO/TPC |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063421527 | William Hernandez-alicea | General Practice | 110 Nnptc Circle, Goose Creek Va Out Patient Clinic, Goose Creek, SC 29445 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| 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 |
|---|---|---|---|---|
| 1972823722 | Moncrief Army Community Hospital | Clinic/Center | 1021 Pinnancle Point, Moncrief Medical Home-jackson, Columbia, SC 29223-5740 | 2010-06-03 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1932304946 | Moncrief Army Community Hospital | Clinic/Center | 4590 Strom Thurmond Blvd, Columbia, SC 29207-5305 | 2007-06-19 |
| 1629038997 | Branch Medical Clinic Parris Island | Clinic/Center | Bldg 598, Parris Island, SC 29905 | 2006-03-23 |
| 1316228448 | Moncrief Army Community Hospital | Clinic/Center | 4323 Hill St, Columbia, SC 29207-6022 | 2011-09-02 |
| 1427233048 | Raymond Glenn Smith | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-01-02 |
| 1083897656 | William Daniel Sanchez Jr. | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2007-12-06 |
| 1942406764 | Moncrief Army Community Hospital | Clinic/Center | 4500 Stuart St, Us Army Dental Clinic, Columbia, SC 29207-5700 | 2007-06-27 |
| 1942416755 | Moncrief Army Community Hospital | Clinic/Center | 4500 Stuart St, Usapec, Columbia, SC 29207-5700 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on NAVAL HEALTH CLINIC CHARLESTON.
| 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.