Ahc Kenner-Ft Gregg-Adams
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Lee, VA
NPI 1891854014 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1891854014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- AHC KENNER-FT GREGG-ADAMS
- Practice address
- 700 24TH St
Fort Lee, VA 23801-1716 - Phone
- (804) 734-9000
- NPI assigned
- Dec 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AHC KENNER-FT GREGG-ADAMS
Authorized official
- Name
- Faya Harr
- Title
- Ubo Manager
- Phone
- (804) 734-9373
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Kenner Army Health Clinic
- Part of
- Kenner Army Health Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
700 24TH St
Fort Lee, VA 23801-1716
Mailing address
700 24TH St
Attn Pad
Fort Lee, VA 23801-1716
Phone (804) 734-9306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48-34289 | Other | NCPDP | |
| AN2598588 | Other | MEDCO |
Other providers in Fort Lee, VA
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- Ahc Kenner-Ft Gregg-Adams
- Tahayya A. M Ansari
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All providers in Fort Lee, VA · Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 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.