JAMES A LOVELL FEDERAL HEALTH CARE CENTER (NPI# 1831406719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831406719 |
| Entity Type | Organization |
| Organization Name | JAMES A LOVELL FEDERAL HEALTH CARE CENTER |
| Other Organization Name | USS TRANQULITY DENTAL PHARMACY |
| Practice Address |
3440 Ohio St Bldg 1017 Great Lakes IL 60088-3155 |
| Mailing Address |
Po Box 322 North Chicago IL 60064-0322 |
| Practice Telephone | 8476881900 |
| Mailing Telephone | 8476881900 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 2024611550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| USS TRANQULITY DENTAL PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790092674 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 | 2010-09-13 |
| 1811934722 | James A Lovell Federal Health Care Center | Clinic/Center | 3715 Municipal Drive, Mchenry, IL 60050-5483 | 2006-05-31 |
| 1144276064 | James A Lovell Federal Health Care Center | Clinic/Center | 8207 22nd Ave, Kenosha, WI 53143-6211 | 2006-05-25 |
| 1013962554 | James A Lovell Federal Health Care Center | Clinic/Center | 1942 Dempster St, Evanston, IL 60202-1016 | 2006-05-23 |
| 1538574777 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-06-26 |
| 1376852152 | James A Lovell Federal Health Care Center | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2010-09-28 |
| 1316254295 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St, Bldg 237, Great Lakes, IL 60088-2942 | 2010-09-13 |
| 1710294681 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3001 6th St Ste A, Bldg 200h Pharmacy, Great Lakes, IL 60088-2833 | 2010-09-13 |
| Street Address |
3440 OHIO ST BLDG 1017 |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656564 | Cameron Dutt | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2020-07-13 |
| 1679197917 | Adeleke Mowobi | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2020-06-02 |
| 1356997076 | Bradley Shemluck | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2019-08-18 |
| 1821644816 | Ryan Ahrends Twaddle | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2019-08-14 |
| 1669034716 | David Paul Anguiano | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2019-06-28 |
| 1194386300 | Chase James Gottschalk | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2019-06-27 |
| 1285120543 | Daria Hyeri Lee | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2018-07-10 |
| 1740775675 | Nathaniel Alexander Holt | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2018-06-23 |
| 1366953937 | Kristofer Scott Harris | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2017-10-23 |
| 1467971119 | Richard Flynn | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2017-09-13 |
| Find all providers in the same location | ||||
| 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 | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790092674 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 | 2010-09-13 |
| 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 |
| 1538574777 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-06-26 |
| 1316254295 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St, Bldg 237, Great Lakes, IL 60088-2942 | 2010-09-13 |
| 1710294681 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3001 6th St Ste A, Bldg 200h Pharmacy, Great Lakes, IL 60088-2833 | 2010-09-13 |
| 1407918360 | Uss Tranq - Turn Two Phcy | Military/U.S. Coast Guard Pharmacy | 3420 Illinois Street, Great Lakes, IL 60088 | 2006-12-15 |
| 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 |
| Find all providers in GREAT LAKES | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on JAMES A LOVELL FEDERAL HEALTH CARE CENTER.
| 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.