CARL R. DARNALL ARMY MEDICAL CENTER (NPI# 1881809697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881809697 |
| Entity Type | Organization |
| Organization Name | CARL R. DARNALL ARMY MEDICAL CENTER |
| Other Organization Name | CHARLES MOORE HEALTH CLINIC-HOOD (Doing Business As Name) |
| Practice Address | 36000 Darnall Loop Charles Moore Health Clinic Fort Hood TX 76544 |
| Practice Telephone | 2542875410 |
| Mailing Address | 36065 Santa Fe Ave Box 313 Fort Hood TX 76544-5060 |
| Mailing Telephone | 2542888381 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-07-11 |
| Authorized Official Telephone | 2542888381 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARL R. DARNALL ARMY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | |||
| Y | 261QM1100X | Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHARLES MOORE HEALTH CLINIC-HOOD | Doing Business As Name |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124431317 | Carl R. Darnall Army Medical Center · Dod Ft Hood Ephcy | 4250 Clear Creek Rd, Room 406, Fort Hood, TX 76544-5095 | 2014-06-05 | |
| 1184875833 | Carl R. Darnall Army Medical Center · Tbi 1 Clinic-Hood | Bldg 42005 Battalion Avenue, Fort Hood, TX 76544 | 2008-09-30 | |
| 1144478058 | Carl R. Darnall Army Medical Center · Russell Collier Health Clinic-Hood | 94043 Loop Road, West Fort Hood, TX 76544 | 2008-09-04 | |
| 1073710893 | Carl R. Darnall Army Medical Center · Usadc-3-Hood | Building 39033 Support Avenue, Fort Hood, TX 76544 | 2007-06-27 | |
| 1396941274 | Carl R. Darnall Army Medical Center · Usadc Inproc Ct-Hood | Building 18010 Hood Road, Fort Hood, TX 76544 | 2007-06-26 | |
| 1871799023 | Carl R. Darnall Army Medical Center · Usadc Billy Johnson-Hood | Building 36014 Wratton Drive, Fort Hood, TX 76544 | 2007-06-25 | |
| 1073719225 | Carl R. Darnall Army Medical Center · Usadc Fairbank-Hood | Building 9440 Battalion Avenue, Fort Hood, TX 78544 | 2007-06-25 | |
| 1508062944 | Carl R. Darnall Army Medical Center · Usadc Perkins-Hood | 33001 Battalion Drive, Fort Hood, TX 76544 | 2007-06-22 | |
| 1982760583 | Carl R. Darnall Army Medical Center | 2245 Batalion Avenue, Fort Hood, TX 76544 | 2006-12-28 | |
| 1881842789 | Carl R. Darnall Army Medical Center · Soldier Service Center-Hood | 36000 Darnall Loop, Dmis 6013, Fort Hood, TX 76544 | 2008-09-04 | |
| Find all providers with the same name | ||||
| Street Address | 36000 DARNALL LOOP CHARLES MOORE HEALTH CLINIC |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253828 | Erin Michelle Hall | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Amc, Fort Hood, TX 76544 | 2005-05-31 |
| 1194337154 | Chisa C Martin | Nurse Practitioner · Family | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
| 1114537487 | Richard William Andreasen Jr. | Dentist · General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-03 |
| 1093341919 | Jennifer Marie Pena · Jennifer Marie Clark | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1497301691 | Jason Michael Fackender | Dentist · General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2019-08-13 |
| 1801373774 | Joshua Schaepe | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-24 |
| 1477039840 | Carl R Darnall Army Medical Center · Fort Hood Medical Home | Clinic/Center · Military/U.S. Coast Guard Outpatient | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-18 |
| 1881182848 | Somer Jean Welch | Social Worker · Clinical | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-04-25 |
| 1760919609 | Qwanquita Teressa Wright | Social Worker · Clinical | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2017-05-22 |
| 1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist · General Practice | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker · Clinical | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist · General Practice | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-Flint | Social Worker · Clinical | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740766112 | Carl R Darnall Army Medical Center · Embedded Health Team 5 | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 | |
| 1568948933 | Carl R Darnall Army Medical Center · Embedded Health Team 8 | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 | |
| 1932595204 | Carl R Darnall Army Medical Center · Ebh Team D 3cr-Hood | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 | |
| 1154717650 | Carl R Darnall Army Medical Center · Ebh Team B 2-1cd-Hood | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 | |
| 1073909578 | Carl R Darnall Army Medical Center · Ebh Team A 1-1cd-Hood | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 | |
| 1972999472 | Carl R Darnall Army Medical Center · Ebh Team C 3-1cd-Hood | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 | |
| 1619287737 | Carl R Darnall Army Medical Center · Intensive Outpnt Day Tmnt Clnc-Hood | Building 36053 Wratten Drive, Fort Hood, TX 76544-5095 | 2010-10-08 | |
| 1184875833 | Carl R. Darnall Army Medical Center · Tbi 1 Clinic-Hood | Bldg 42005 Battalion Avenue, Fort Hood, TX 76544 | 2008-09-30 | |
| 1073710893 | Carl R. Darnall Army Medical Center · Usadc-3-Hood | Building 39033 Support Avenue, Fort Hood, TX 76544 | 2007-06-27 | |
| 1396941274 | Carl R. Darnall Army Medical Center · Usadc Inproc Ct-Hood | Building 18010 Hood Road, Fort Hood, TX 76544 | 2007-06-26 | |
| Find all providers in FORT HOOD | ||||
| City | FORT HOOD |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121006 | Carl Darnall Army Medical Center | Military Hospital | Carl Darnall Army Medical Center, 36065 Sante Fe Ave, Apo, AA 76544-9997 | 2016-09-01 |
| 1295834364 | Carl R Darnall Army Medical Center · Hood Cmop | Military/U.S. Coast Guard Pharmacy | Darnall Ach Pharmacy Dept, Bldg 36000 Darnall Loop, Ft Hood, TX 76540 | 2006-09-22 |
| 1922462951 | Lee Jin | Physician Assistant | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2016-04-06 |
| 1386058733 | Philip M Davis | Emergency Medicine | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Ft. Hood, TX 76544 | 2014-06-13 |
| 1649514118 | Nicholas Bradly | Nurse Practitioner · Psych/Mental Health | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Ft. Hood, TX 76544 | 2012-11-21 |
| 1518010032 | Pamela None Seidler | Counselor · Professional | Carl R Darnall Army Medical Center 36000 Darnall Loop, Ft Hood, TX 76544 | 2007-01-19 |
| 1134276611 | Jennifer Rae Styles | Pharmacist · Pharmacotherapy | Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Ft. Hood, TX 76544 | 2007-01-05 |
| 1932303344 | David Heaton | Emergency Medicine | Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Ft. Hood, TX 76544 | 2007-06-12 |
| 1770711533 | Krista Mcbayne | Pediatrics | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Ft Hood, TX 76544 | 2009-06-30 |
| 1699910893 | Buddy L Leckie | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Ft Hood, TX 76544 | 2008-12-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.