NPIMap

Organization Active NPI

McDonald Army Health Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Eustis, VA
National Provider Identifier
1528295318
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
MCDONALD ARMY HEALTH CENTER
Practice address
664 Darcy PL
Fort Eustis, VA 23604-1635
Phone
(757) 314-8096
NPI assigned
Jun 18, 2009
Organization subpart
Yes
Parent organization
MCDONALD ARMY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Donna Albright
Title
Ubo Rep
Phone
(757) 314-7755

Specialties & licenses 1

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

Addresses

Primary practice location

664 Darcy PL
Fort Eustis, VA 23604-1635

Mailing address

579 Jefferson Ave
Attn Ubo
Fort Eustis, VA 23604
Phone (757) 314-7770

Other names 1

  • TMC-1-EUSTIS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahc McDonald-Eustis12 organizations share this tax ID, including this one
Part of
Ahc McDonald-Eustis

Other organizations with this tax ID 11

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

Locations

664 Darcy Pl
Fort Eustis, VA 23604
Phone (757) 314-8096

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1528295318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 JEFFERSON AVE",
            "address_2": "ATTN UBO",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "23604",
            "telephone_number": "757-314-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 DARCY PL",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041635",
            "telephone_number": "757-314-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD ARMY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONALD ARMY HEALTH CENTER",
        "enumeration_date": "2009-06-18",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "UBO REP",
        "authorized_official_telephone_number": "757-314-7755"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMC-1-EUSTIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Eustis, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.