NPIMap

Organization Active NPI

Keller Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Natick, MA
National Provider Identifier
1225243140
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
42 Kansas St
Soldier Service Center
Natick, MA 01760-2642
Phone
(800) 552-2907
NPI assigned
May 14, 2007
Organization subpart
Yes
Parent organization
KELLER ARMY COMMUNITY HOSPITALAs reported in NPPES

Authorized official

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

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.

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

42 Kansas St
Soldier Service Center
Natick, MA 01760-2642

Mailing address

900 Washington Rd
Attn: McUd-RMD-Ubo
West Point, NY 10996-1197
Phone (845) 938-8239

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1528161916OtherPARENT FACILITY NPI

Other names 1

NPPES NPI Registry
  • NATICK AHC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2012.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1225243140",
    "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": "109961197",
            "telephone_number": "845-938-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 KANSAS ST",
            "address_2": "SOLDIER SERVICE CENTER",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602642",
            "telephone_number": "800-552-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-14",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1528161916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATICK AHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

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.