US Army

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

2572192 Issued in FL

Legal business name

US ARMY

Practice address

703 E 9 Street
Fort Stewart, GA 31314

Phone

(912) 435-1359

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

James Farris Jammel

Title

Nurse Case Manager

Phone

(912) 435-1359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1487058780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NW 161ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281164",
            "telephone_number": "954-993-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E 9 STREET",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "JAMMEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FARRIS",
        "authorized_official_title_or_position": "NURSE CASE MANAGER",
        "authorized_official_telephone_number": "912-435-1359"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "2572192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Diane Tsai, PT, DPT
• Lisa Tyler, R.N.
• U.S. Army
• Irene Umana-Maxwell, LCSW
• US Army
• Jamie Vander Ark, L.P.N.
• Gerald Lee Vander Heyden, DC
• George Vanderhoof
• Lucas Vannoy, D.O.
• Mary Shannon Vanstavoren, P-LCSW

• Emergency Care Clinic/Center in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Emergency Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.