Ospweed Armycommunity

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

064763 Issued in NC

Legal business name

OSPWEED ARMYCOMMUNITY

Practice address

5220B Silver Mine Way
Fort Irwin, CA 92310-2103

Phone

(760) 380-3185

Fax

(760) 380-6783

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Doris Jean Dula, LVN

Title

Redcross Volunteer

Phone

(910) 273-9578

Specialties & licenses 1

Addresses

Other names 1

• American Red Cross Other name

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497842074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220B SILVER MINE WAY",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102103",
            "telephone_number": "760-380-3185",
            "fax_number": "760-380-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220B SILVER MINE WAY",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102103",
            "telephone_number": "760-380-3185",
            "fax_number": "760-380-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPWEED ARMYCOMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULA",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "REDCROSS VOLUNTEER",
        "authorized_official_telephone_number": "910-273-9578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NC",
            "license": "064763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Red Cross",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Elisabeth O'Keefe, RDH
• Isha Oli, DPT
• Kristyn Lauren Ollison
• Zoraida A. Oquendo
• Miguel Ortiz Lopez, PA
• Richard Berrett Pace, MD
• Kathryn Paine, PT, DPT
• Jin Woo Pak
• Leslie Pandy
• Megan Marie Parent

• Pediatric Skilled Nursing Facility in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Pediatric Skilled Nursing Facility in California

• 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.