KELLER ARMY COMMUNITY HOSPITAL (NPI# 1861898942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861898942 |
| Entity Type | Organization |
| Organization Name | KELLER ARMY COMMUNITY HOSPITAL |
| Other Organization Name | DOD FT HAMILTON EPHCY |
| Practice Address |
114 White Ave Brooklyn NY 11252-9503 |
| Mailing Address |
Keller Army Community Hospital Co Mcud-rmd-ubo Bldg 900 West Point NY 10996-1197 |
| Practice Telephone | 7186304268 |
| Practice Fax Number | 7186304337 |
| Mailing Telephone | 8459382271 |
| Mailing Fax Number | 8459383168 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148800 | 01 |
| Other Name | Type Code |
|---|---|
| DoD FT HAMILTON ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1275747149 | Keller Army Community Hospital | Clinic/Center | 5631 Baltimore St, Fort Dix, NJ 08640-5440 | 2007-05-10 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1497160113 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Keller Army Community Hospital, Building 900 900 Washington Road, West Point, NY 10996-1197 | 2014-06-23 |
| Street Address |
114 WHITE AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11252-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619945565 | Elizabeth H Winslow | Social Worker | 114 White Ave, Bldg 114, Brooklyn, NY 11252 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1558349290 | Barbara Wirth Colon | Family Medicine | Bldg 114 White Ave, Ainsworth Army Health Clinic, Ft Hamilton, Brooklyn, NY 11252-6500 | 2006-01-04 |
| 1407837222 | Nelly Fuzaylov | Pharmacist | Ainsworth Us Army Health Clinic Pharmacy, Ainsworth Us Army Health Clinic Bldg 114, Fort Hamilton, NY 11252-6500 | 2005-11-09 |
| 1225029226 | Jeffrey Mni Perles | Counselor | Fort Hamilton Army Base, Bldg #114 Rm 1-19, Brooklyn, NY 11252-6530 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1255932935 | Emily W Wang | Speech-Language Pathologist | 486 E 28th St Apt 702, Brooklyn, NY 11226-7994 | 2020-11-08 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1740881663 | Lauren Amigo | Art Therapist | 86 Fleet Pl Apt 5t, Brooklyn, NY 11201-7132 | 2020-11-06 |
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1437750585 | Eric Grant Shorey | Psychoanalyst | 91 Jewel St Apt 3r, Brooklyn, NY 11222-3025 | 2020-11-05 |
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1043811102 | Krisja Hendricks | Dance Therapist | 978 Metropolitan Ave Apt 2, Brooklyn, NY 11211-2635 | 2020-11-05 |
| Find all providers in BROOKLYN | ||||
| 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 |
|---|---|---|---|---|
| 1053724807 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | Guthrie Ambulatory Health Care Clinic, 11050 Mt. Belvede, Fort Drum, NY 13602-5004 | 2014-06-10 |
| 1275849937 | Gahacc | Military/U.S. Coast Guard Pharmacy | Euphrates River Valley Road, Bldg 10506, Ft Drum, NY 13602 | 2010-08-19 |
| 1144553801 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | 10590 Enduring Freedom Dr., Fort Drum, NY 13602 | 2009-09-14 |
| 1265680292 | Gahcc-tpcp | Military/U.S. Coast Guard Pharmacy | Eduring Freedom Rd P10730a, Aafes Main Exchange, Ft Drum, NY 13602 | 2008-09-03 |
| 1215091962 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Usa Meddhc 11050 Mt Belvedere Blvd, Ft Drum, NY 13601 | 2006-12-20 |
| 1629131339 | Gahcc/tpcp | Military/U.S. Coast Guard Pharmacy | 110505 Mt Belvedere Blvd, Ft Drum, NY 13602 | 2006-12-18 |
| 1912006362 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 114 Rm 175, Ft Hamilton, NY 11252 | 2006-09-22 |
| 1336248798 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | P10506 Second St, Ft Drum, NY 13602 | 2006-09-22 |
| 1881793255 | Guthrie Ahc | Military/U.S. Coast Guard Pharmacy | Munns Corners Rd P2065, Ft Drum, NY 13602 | 2006-09-22 |
| 1154420438 | Naval Health Clinic New England | Military/U.S. Coast Guard Pharmacy | Navy Branch Medical Clinic, One West Ave Suite 230, Saratoga Springs, NY 12866 | 2006-09-22 |
| 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.