NPIMap

Organization Active NPI

Fox Army Health Center

Doing business as Usadc-1 Redstone Arsenal

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Huntsville, AL
National Provider Identifier
1871796334
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
FOX ARMY HEALTH CENTER
Doing business as
Usadc-1 Redstone Arsenal
Practice address
4100 Goss Rd SW
Usadc-1
Huntsville, AL 35809-0001
Phone
(256) 955-8888
NPI assigned
Jun 11, 2007
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FOX ARMY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Wade Hamlett
Title
Ubo Manager
Phone
(256) 876-4464

Specialties & licenses 1

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

Addresses

Primary practice location

4100 Goss Rd SW
Usadc-1
Huntsville, AL 35809-0001

Mailing address

4100 Gross Rd
Attn MCXW Pad Ins Office
Redstone Arsenal, AL 35809-7000
Phone (256) 876-4464

Other names 1

  • USADC-1 REDSTONE ARSENAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fox Army Health Center3 organizations share this tax ID, including this one
Part of
Fox Army Health Center

Other organizations with this tax ID 2

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

Locations

4100 Goss Rd SW
#1
Huntsville, AL 35809
Phone (256) 955-8888

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1871796334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GROSS RD",
            "address_2": "ATTN MCXW PAD INS OFFICE",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-876-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD SW",
            "address_2": "USADC-1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358090001",
            "telephone_number": "256-955-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX ARMY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOX ARMY HEALTH CENTER",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMLETT",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "256-876-4464"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC-1 REDSTONE ARSENAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.