NPIMap

Organization Active NPI

Weed Army Community Hospital

  • Pediatric Skilled Nursing Facility
  • Fort Irwin, CA
National Provider Identifier
1154465748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
RN00165860 Issued in WA
Legal business name
WEED ARMY COMMUNITY HOSPITAL
Practice address
Building 166 Third Street
Fort Irwin, CA 92310
Phone
(760) 380-3144
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joan Frisone
Title
Credentials Coordinator
Phone
(760) 380-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X RN00165860 WA Primary

Addresses

Primary practice location

Building 166 Third Street
Fort Irwin, CA 92310

Mailing address

2301 Muriel Dr
#15
Barstow, CA 92311-6739

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154465748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MURIEL DR",
            "address_2": "#15",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923116739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 166 THIRD STREET",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEED ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISONE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "760-380-5388"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WA",
            "license": "RN00165860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.