NPIMap

Organization Active NPI

Winn-Thrid Party Insurance

Doing business as Usadc Ft. Stewart 4

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Stewart, GA
National Provider Identifier
1235333592
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
WINN-THRID PARTY INSURANCE
Doing business as
Usadc Ft. Stewart 4
Practice address
434 Vanguard Road
Fort Stewart, GA 31314
Phone
(912) 767-9775
NPI assigned
Jun 12, 2007
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WINN-THRID PARTY INSURANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Henry Ford
Title
Chief, Ubo
Phone
(912) 435-6175

Specialties & licenses 1

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

Addresses

Primary practice location

434 Vanguard Road
Fort Stewart, GA 31314

Mailing address

1061 Harmon Ave Ste 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-6037

Other names 1

  • USADC FT. STEWART 4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winn-Thrid Party Insurance18 organizations share this tax ID, including this one
Part of
Winn-Thrid Party Insurance

Other organizations with this tax ID 17

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

View all 17

Locations

1061 Harmon Ave
#1D03
Fort Stewart, GA 31314
Phone (912) 435-5555

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1235333592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 VANGUARD ROAD",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN-THRID PARTY INSURANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINN-THRID PARTY INSURANCE",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CHIEF, UBO",
        "authorized_official_telephone_number": "912-435-6175"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC FT. STEWART 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.