Organization Active NPI

Tripler Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Tripler Army Medical Center, HI
National Provider Identifier
1992953897
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
TRIPLER ARMY MEDICAL CENTER
Practice address
1 Jarrett White Rd
NA Koa Dental Clinic BLDG 678
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-6825
NPI assigned
Sep 4, 2008
Organization subpart
Yes
Parent organization
TRIPLER ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Hugh Keel
Title
PRMC Ubo
Phone
(808) 433-1016

Specialties & licenses 1

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

Addresses

Primary practice location

1 Jarrett White Rd
NA Koa Dental Clinic BLDG 678
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Attn Pad MCHK-Pat-T
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6103

Other names 1

  • USADC HAWAII NA KOA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tripler Army Medical Center12 organizations share this tax ID, including this one
Part of
Tripler Army Medical Center

Other organizations with this tax ID 11

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

Locations

1 Jarrett White Rd
Bldg 678
Tripler Army Medical Center, HI 96859

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1992953897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "ATTN PAD MCHK-PAT-T",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "NA KOA DENTAL CLINIC BLDG 678",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLER ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIPLER ARMY MEDICAL CENTER",
        "enumeration_date": "2008-09-04",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "PRMC UBO",
        "authorized_official_telephone_number": "808-433-1016"
    },
    "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": "USADC HAWAII NA KOA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.