MCDONALD ARMY HEALTH CENTER (NPI# 1821202151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821202151 |
Entity Type | Organization |
Organization Name | MCDONALD ARMY HEALTH CENTER |
Other Organization Name | AHC MONROE |
Practice Address |
60 Ingalls Rd Fort Monroe VA 23651-1032 |
Mailing Address |
579 Jefferson Ave Attn Ubo Fort Eustis VA 23604-1526 |
Practice Telephone | 7573147500 |
Mailing Telephone | 7573147770 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2015-04-01 |
Authorized Official Name | DONNA ALBRIGHT (UBO REP) |
Authorized Official Telephone | 7573147755 |
Is Organization Subpart | Y |
Parent Organization Name | MCDONALD ARMY HEALTH CENTER |
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 |
---|---|---|---|
PARENT FACILITY NPI | 1922199066 | 01 |
Other Name | Type Code |
---|---|
AHC MONROE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
1386743409 | Mcdonald Army Health Center | Pharmacy | Ingalls Rd Bldg 82, Ft Monroe, VA 23651 | 2006-09-22 |
1124127246 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave Rm J7, Fort Eustis, VA 23604-1373 | 2006-09-22 |
1134226988 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 649 New Guinea Rd, Ft Story, VA 23459 | 2006-09-20 |
1609339340 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 5309 Discovery Park Blvd, Williamsburg, VA 23188-2789 | 2019-04-10 |
1861807703 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-06-30 |
1992933279 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 815 Gaffey Pl, Fort Eustis, VA 23604-1505 | 2009-06-25 |
Street Address |
60 INGALLS RD |
City | FORT MONROE |
State | VA |
Zip Code | 23651-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740267962 | Peter David Cross | Family Medicine | 60 Ingalls Rd, Craven Army Health Clinic, Fort Monroe, VA 23651-1032 | 2005-12-29 |
1679637235 | Tamara Williams Fox | Family Medicine | 60 Ingalls Rd, Building 82, Fort Monroe, VA 23651-1032 | 2006-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
1386743409 | Mcdonald Army Health Center | Pharmacy | Ingalls Rd Bldg 82, Ft Monroe, VA 23651 | 2006-09-22 |
1750997441 | Adrienne Reddick | Nurse Practitioner | 17 Moat Walk Unit 140a, Fort Monroe, VA 23651-1020 | 2020-09-18 |
1538679352 | Artisan Counseling | Counselor | 11 Moat Walk, Fort Monroe, VA 23651-1020 | 2017-10-06 |
1386163368 | Virginia Chiropractic & Wellness | Chiropractor | 4 Reeder Cir Apt 35b, Fort Monroe, VA 23651-1027 | 2017-09-12 |
1952465981 | Ronald Ellyson | Physician Assistant | 60 Ingalls Rd Bldg 82, Ste. 412, Fort Monroe, VA 23651-1032 | 2006-12-21 |
1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
1023410859 | Kristi Langschied | Physical Therapy Assistant | 2 Fenwick Rd, Fort Monroe, VA 23651-1120 | 2014-09-24 |
1437669157 | Raquel Evette Laws | Physical Therapy Assistant | 2 Fenwick Rd, Hampton, VA 23651-1120 | 2017-10-08 |
1548785991 | Megan Leigh Hine | Occupational Therapist | 2 Fenwick Rd, Hampton, VA 23651-1120 | 2017-08-07 |
Find all providers in zip 23651 |
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 |
---|---|---|---|---|
1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215218342 | Kenner Army Health Clinic | Clinic/Center | 8204 Ave C, Fort Lee, VA 23801-1716 | 2011-09-02 |
1801043252 | Kenner Ahc | Clinic/Center | 14115 Montague Rd, Fort A P Hill, VA 22427-3115 | 2008-08-27 |
1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
1821281908 | Branch Medical Clinic Ocs Brown Field | Clinic/Center | 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 | 2007-08-22 |
1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
1821501719 | Tricare Medical Clinic Suffolk | Clinic/Center | 1317 Ballahack Rd, Chesapeake, VA 23322-2499 | 2017-11-14 |
Find all providers with the same taxonomy |
City | FORT MONROE |
Zip Code | 23651 |
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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.