Kenner Army Health Clinic
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Fort a P Hill, VA
NPI 1801043252 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1801043252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- KENNER ARMY HEALTH CLINIC
- Practice address
- 14115 Montague Rd
Fort a P Hill, VA 22427-3115 - Phone
- (804) 734-9000
- NPI assigned
- Aug 27, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- KENNER ARMY HEALTH CLINIC
Authorized official
- Name
- Carlos Rodriguez-Rosado
- Title
- Ncoic Pad
- Phone
- (804) 734-9299
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Kenner Army Health Clinic
- Part of
- Kenner Army Health Clinic
Locations
14115 Montague Rd
Fort Anderson Pinn Hill, VA 22427
Phone (804) 734-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
14115 Montague Rd
Fort a P Hill, VA 22427-3115
Mailing address
700 24TH St
Attn Pad
Fort Lee, VA 23801-1716
Phone (804) 734-9306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891854014 | Other | PARENT FACILITY NPI EFF 1 OCT 10 |
Other names
- AP HILL AHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.