US Army Health Clinic

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

Legal business name

US ARMY HEALTH CLINIC

Doing business as

Dugway HC Phcy

Practice address

5116 Kister Avenue
Room #119
Dugway, UT 84022

Phone

(801) 831-2942

Fax

(801) 831-2552

NPI assigned

Sep 22, 2006

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

EVANS ARMY COMMUNITY HOSPITALAs reported in NPPES

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

Authorized official

Name

Hector Morales

Title

MGR Phrmcy Operations CNTR

Phone

(210) 221-8443

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• DUGWAY HC PHCY Doing business as

Tax ID family

Dugway HC Phcy3 organizations share this tax ID, including this one

Part of

Evans Army Community Hospital

Other organizations with this tax ID 2

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

• US Army Health Clinic

  dba Ohc Tooele Army Depot

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Tooele, UT
  • NPI 1427262518
  NPD tax ID
• US Army Health Clinic

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Dugway, UT
  • NPI 1497702591
  NPD tax ID

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1689773707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 KISTER AVENUE",
            "address_2": "ATTN MSA OFFICE",
            "city": "DUGWAY",
            "state": "UT",
            "postal_code": "84022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 KISTER AVENUE",
            "address_2": "ROOM #119",
            "city": "DUGWAY",
            "state": "UT",
            "postal_code": "84022",
            "telephone_number": "801-831-2942",
            "fax_number": "801-831-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANS ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "MGR PHRMCY OPERATIONS CNTR",
        "authorized_official_telephone_number": "210-221-8443"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4609307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PAYMENT CENTER",
            "identifier": "005252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1497702591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1497795702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUGWAY HC PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lohnes, LCSW
• Caleb Andrew Mayes, DO
• William C Otto, M.D.
• Susanne Christine Thobe, MD, MPH
• US Army Health Clinic
• Christina Marie Vokt, MD, MPH

• Military/U.S. Coast Guard Pharmacy in Dugway, UT
• Providers in Dugway, UT by specialty
• Military/U.S. Coast Guard Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.