JAMES A LOVELL FHCC (NPI# 1801858741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801858741 |
| Entity Type | Organization |
| Organization Name | JAMES A LOVELL FHCC |
| Practice Address |
2470 Sampson Street Bldg 237 Great Lakes IL 60088 |
| Mailing Address |
Po Box 322 North Chicago IL 60064-0322 |
| Practice Telephone | 2246104232 |
| Practice Fax Number | 2246103712 |
| Mailing Telephone | 2246104232 |
| Mailing Fax Number | 2246103712 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | MR. ROBERT G BUCKLEY (CAPTAIN) |
| Authorized Official Telephone | 2246103735 |
| Authorized Official Credential | MD, MPH, FACEP |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043625981 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd Bldg 3452, North Chicago, IL 60088-3303 | 2014-06-30 |
| 1508965120 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2470 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2006-09-21 |
| 1336248962 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3452 Greenbay Rd Bldg 3452, Great Lakes, IL 60088 | 2006-09-21 |
| 1447665690 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 2470 Sampson St Bldg 237, North Chicago, IL 60088-2942 | 2014-06-26 |
| 1407955032 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3420 Illinois St, Uss Tranquilityah14 Med Cln 1017, Great Lakes, IL 60088-3161 | 2006-09-21 |
| 1639276488 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3001a Sixth Street, Great Lakes, IL 60088-5230 | 2006-09-20 |
| 1548367394 | James A Lovell Fhcc | Military/U.S. Coast Guard Pharmacy | 3420 Illinois St, Ah14 Medical Clinic, Great Lakes, IL 60088-3161 | 2006-09-20 |
| Street Address |
2470 SAMPSON STREET BLDG 237 |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992240 | Thomas-eden Carr Pike | Dentist | 2470 Sampson Street, Great Lakes, IL 60088 | 2019-10-02 |
| 1609385368 | Bradley David Revenis | Dentist | 2470 Sampson Street, Great Lakes, IL 60088 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| 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 |
|---|---|---|---|---|
| 1144557208 | Naval Health Clinic Great Lakes | Clinic/Center | 3350 Illinois St, Great Lakes, IL 60088-5230 | 2009-11-11 |
| 1376852152 | James A Lovell Federal Health Care Center | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2010-09-28 |
| 1831383108 | Nbhc Ntc Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1922292291 | Nbhc Nctc Inpr Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1912191271 | Bdc Kansas City | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-30 |
| 1295928257 | Nbhc Nctc Great Lakes | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2007-08-23 |
| City | GREAT LAKES |
| Zip Code | 60088 |
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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.