NPIMap

Organization Active NPI

Keller Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Dix, NJ
National Provider Identifier
1124223235
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
KELLER ARMY COMMUNITY HOSPITAL
Practice address
5660 Doughboy Loop
Fort Dix, NJ 08640
Phone
(845) 938-4034
NPI assigned
Jun 19, 2007
Organization subpart
Yes
Parent organization
KELLER ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Tuffy
Title
Ubo Manager
Phone
(845) 938-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

5660 Doughboy Loop
Fort Dix, NJ 08640

Mailing address

900 Washington Rd
Attn McUd-RMD-Ubo
West Point, NY 10996-1109
Phone (845) 938-8239

Other names 1

  • USADC WEST POINT MILLS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ach Keller-West Point13 organizations share this tax ID, including this one
Part of
Ach Keller-West Point

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5660 Doughboy Loop
Joint Base Mdl, NJ 08640
Phone (609) 562-2610

900 Washington Rd
West Point, NY 10996
Phone (845) 938-3441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1124223235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "address_2": "ATTN MCUD-RMD-UBO",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 DOUGHBOY LOOP",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "08640",
            "telephone_number": "845-938-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "TUFFY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "845-938-8239"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC WEST POINT MILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dix, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.