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AHC Facilities / Military Outpatient Operational (Transportable) Component

?Non-fixed? facilities or distinct parts of a ?non-fixed? facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. ?Non-fixed? facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. ?Non-fixed? facilities include outpatient services furnished onboard ships. ?Non-fixed? facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

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OrganizationCity/StateZipSpecialtyName

'CORAM HEALTHCARE CORPORATION OF INDIANA

Denver, CO80202Military Outpatient Operational (Transportable) ComponentSR VP
Vito Ponzio

'OUR HOUSE' FOUNDATION

Springfield, MO65810Military Outpatient Operational (Transportable) ComponentFOUNDER / CEO -VOLUNTEER
Rita Spilken

'THE PINK RIBBON' MAMMOGRAPHY SERVICES

Atlanta, GA30331Military Outpatient Operational (Transportable) ComponentCEO
Amira Karriem

.BENJAMIN AVRUNIN, M.D.,P.A.

Olney, MD20832Military Outpatient Operational (Transportable) ComponentPRESIDENT
Benjamin Avrunin

.METRO SPORTS PHYSICAL THERAPY

New York, NY10017Military Outpatient Operational (Transportable) ComponentDIRECTOR
Michael Cormican

.MORTENSON FAMILY DENTAL CENTER

Louisville, KY40219Military Outpatient Operational (Transportable) ComponentDENTIST OWNER
Owen Mortenson

.WOMEN'S OB/GYN OF RAMAPO PLLC

Harriman, NY10926Military Outpatient Operational (Transportable) ComponentPRESIDENT
Kareen Saunders

00000000CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA (COSSMA)

Cidra, PR00739Military Outpatient Operational (Transportable) ComponentEXECUTIVE DIRECTOR
Isolina Miranda

021808 LLC

Colorado Springs, CO80910Military Outpatient Operational (Transportable) ComponentVICE PRESIDENT
Ryan Pardo

022808 KENWOOD LLC

Cincinnati, OH45242Military Outpatient Operational (Transportable) ComponentVICE PRESIDENT
Ryan Pardo

022808 LLC

Norwood, OH45212Military Outpatient Operational (Transportable) ComponentVICE PRESIDENT
Ryan Pardo

0SEAFORD FAMILY PRACTICE INTERNAL MEDICINE PC

Seaford, NY11783Military Outpatient Operational (Transportable) ComponentOFFICE ADMINISTRATOR
Myrna Elfenbein

1 ON 1 REHAB CORPRATION

Pomona, CA91767Military Outpatient Operational (Transportable) ComponentPRESIDENT
Hossein Tayebi

1 PARADISE MEDICAL INC

Miami, FL33186Military Outpatient Operational (Transportable) ComponentPRESIDENT
Kirenia Bustillo

1 STEP AHEAD REHABILITATION, LLC

Edinburg, TX78539Military Outpatient Operational (Transportable) ComponentPRESIDENT
Deborah Moreno

1-4 SURGICAL SERVICES, LLC

Tallahassee, FL32304Military Outpatient Operational (Transportable) ComponentBILLING MANAGER
Mary Ann Evanoski

1-800MD LLC

Charlotte, NC28226Military Outpatient Operational (Transportable) ComponentVP
Jonathan Mcguire

1-ON-1 MD, LLC

Chicago, IL60610Military Outpatient Operational (Transportable) ComponentDIRECTOR
Linda Huang

10 TO 10 URGENT CARE, LLC

Lutz, FL33559Military Outpatient Operational (Transportable) ComponentOWNER/PRESIDENT
Kenneth Rice

1003 INVESTMENTS, LLC

Louisville, KY40207Military Outpatient Operational (Transportable) ComponentREGIONAL MANAGER
Jason Taylor

101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP

Canoga Park, CA91303Military Outpatient Operational (Transportable) ComponentMEDICAL DIRECTOR
Hessam Aazami

101 LASIK SURGICAL GROUP

New York, NY10178Military Outpatient Operational (Transportable) ComponentCEO
David Hay

101 PHYSICAL THERAPY, INC

Ooltewah, TN37363Military Outpatient Operational (Transportable) ComponentPRESIDENT
Russell Atkins

1012 INVESTMENTS, LLC

Daleville, IN47334Military Outpatient Operational (Transportable) ComponentOPERATIONS MANAGER
Steven Ganote

104TH AVENUE MEDICAL CLINIC INCORPORATED

Kent, WA98030Military Outpatient Operational (Transportable) ComponentVICE-PRESIDENT
Ranu Choudhary

10TH MEDICAL GROUP

Usaf Academy, CO80840Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Christopher Eaton

10TH STREET AFTER HOURS URGENT CARE

Santa Monica, CA90401Military Outpatient Operational (Transportable) ComponentPRESIDENT
Lichuan Fang

1140 WESTMONT PHYSICAL THERAPY AND REHABILITATION SERVICES

Houston, TX77015Military Outpatient Operational (Transportable) ComponentC.A
Debbie Munoz

1203 PALLOVERDE LLC

Chandler, AZ85224Military Outpatient Operational (Transportable) ComponentPRESIDENT
Brian Hackett

121FIT, INC.

North Conway, NH03860Military Outpatient Operational (Transportable) ComponentOWNER/CERT. PERSONAL TRAINER
Michelle Rober

121ST CSH/BAACH

Apo, AP96224Military Outpatient Operational (Transportable) ComponentMEDCOM UBO
Jo-El Onstad

121ST CSH/BAACH

Apo, AP96205Military Outpatient Operational (Transportable) ComponentMEDCOM UBO
Jo-El Onstad

121ST CSH/BAACH

Apo, AP96205Military Outpatient Operational (Transportable) ComponentMEDCOM UBO
Jo-El Onstad

121ST CSH/BAACH

Apo, AP96271Military Outpatient Operational (Transportable) ComponentHQ MEDCOM UBO
Joel Onstad

123 PHYSICAL THERAPY, LLC

West New York, NJ07093Military Outpatient Operational (Transportable) ComponentMANAGING MEMBER
Antonio Gines

12325 NEW HAMPSHIRE AVENUE DIALYSIS SERVICES LLC

Silver Spring, MD20904Military Outpatient Operational (Transportable) ComponentCORPORATE MANAGER
Jane Dropeskey

125TH STREET NM CORP

North Miami, FL33161Military Outpatient Operational (Transportable) ComponentPRESIDENT/OWNER
Igor Niznik

125TH STREET NM CORP

North Miami, FL33161Military Outpatient Operational (Transportable) ComponentPRESIDENT
Igor Niznik

128 PLASTIC SURGERY ASSOCIATES PLLC

New York, NY10019Military Outpatient Operational (Transportable) ComponentDIRECTOR
Christopher Chia

12TH MEDICAL GROUP RANDOLPH

Randolph A F B, TX78150Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

135 WOODFIELD ROAD MEDICAL SERVICES, PLLC

W Hempstead, NY11552Military Outpatient Operational (Transportable) ComponentOWNER
Shuriz Hishmeh

13TH MOON MIDWIFERY, INC.

Fort Collins, CO80521Military Outpatient Operational (Transportable) ComponentCNM/OWNER
Carol Roedocker

1450 ASSOCIATES LLC

Vineland, NJ08361Military Outpatient Operational (Transportable) ComponentOFFICE MANAGER
Joanna Brown

1450 ASSOCIATES, LLC

Vineland, NJ08361Military Outpatient Operational (Transportable) ComponentPARTNER
Satish Shah

1450 ASSOCIATES, LLC

Vineland, NJ08361Military Outpatient Operational (Transportable) ComponentPARTNER
Satish Shah

1450 ASSOCIATES, LLC

Bridgeton, NJ08302Military Outpatient Operational (Transportable) ComponentPARTNER
Satish Shah

14TH MEDICAL GROUP

Columbus, MS39710Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

15TH STREET CHIROPRACTIC PC

Great Falls, MT59405Military Outpatient Operational (Transportable) ComponentOWNER
Mark Hertenstein

165 SUMMIT INTERNAL MEDICINE CLINIC PA

Hackensack, NJ07601Military Outpatient Operational (Transportable) ComponentPRESIDENT
Aret Kahyaoglu

16TH ST COMMUNITY HEALTH CENTER INC

Waukesha, WI53188Military Outpatient Operational (Transportable) ComponentCEO
John Barkowski

16TH ST COMMUNITY HEALTH CENTER INC.

Milwaukee, WI53204Military Outpatient Operational (Transportable) ComponentCEO
John Bartkowski

16TH STREET COMMUNITY HEALTH CENTER INC.

Milwaukee, WI53204Military Outpatient Operational (Transportable) ComponentCEO
John Bartkowski

16TH STREET COMMUNITY HEALTH CENTER INC.

Milwaukee, WI53215Military Outpatient Operational (Transportable) ComponentCEO
John Bartkowski

16TH STREET COMMUNITY HEALTH CENTER, INC

Milwaukee, WI53215Military Outpatient Operational (Transportable) ComponentCEO
John Bartkowski

17TH MEDICAL GROUP

Goodfellow Afb, TX76908Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

180 BEHAVIORAL HEALTH, PLLC

Blowing Rock, NC28605Military Outpatient Operational (Transportable) ComponentCLINICAL SUPERVISOR/OWNER
Joseph Dickson

180 DEGREES REHABILITATION INC

Virginia Gardens, FL33166Military Outpatient Operational (Transportable) ComponentPRESIDENT
Rafaela Morera Acosta

180 PHYSICAL THERAPY, INC.

Erie, PA16506Military Outpatient Operational (Transportable) ComponentPRESIDENT
John Deangelo

1800 MCDONOUGH ROAD SURGERY CENTER LLC

Hoffman Estates, IL60192Military Outpatient Operational (Transportable) ComponentOWNER
Kianoosh Jafari

1810 BLDG., LTD.

Weslaco, TX78596Military Outpatient Operational (Transportable) ComponentGENERAL PARTNER
Roger Heredia

1855 TU SALUD MEDICAL CENTER INC

Miami, FL33126Military Outpatient Operational (Transportable) ComponentPRESIDENT
Rolando Cruz

18TH MEDCOM

Apo, AP96205Military Outpatient Operational (Transportable) ComponentOCCUPATIONAL HEALTH NURSING SUPERVI
Han Woo

1960 DIALYSIS CENTER INC.

Houston, TX77073Military Outpatient Operational (Transportable) ComponentPRESIDENT
Pinakin Patel

19TH AVENUE CLINIC LLC

Phoenix, AZ85015Military Outpatient Operational (Transportable) ComponentVP OF OPERATIONS
Renee Biskupski

19TH MDSS SGSR

Lr Afb, AR72099Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

1SOURCE FITNESS & SPORTS-NEURO REHAB LLC

Loganville, GA30052Military Outpatient Operational (Transportable) ComponentDR. OF PHYSICAL THERAPY
Collin Adu

1ST AVENUE CHIROPRACTIC, P.C.

Humboldt, IA50548Military Outpatient Operational (Transportable) ComponentCEO
Michael Crowley

1ST CARE DIAGNOSTIC SERVICES

Mesa, AZ85203Military Outpatient Operational (Transportable) ComponentOWNER
Shawn Toloui

1ST CARE URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC.

Phoenix, AZ85020Military Outpatient Operational (Transportable) ComponentOWNER
John Dover

1ST CHOICE ACUPUNCTURE INC.

Bellevue, WA98005Military Outpatient Operational (Transportable) ComponentPRESIDENT
Howie Sun

1ST CHOICE PHLEBOTOMY SERVICE

Tempe, AZ85281Military Outpatient Operational (Transportable) ComponentOWNER
Natalie Vazquez

1ST CLINIC

Hayden, ID83835Military Outpatient Operational (Transportable) ComponentCONTRACT PHYSICIAN
John Torquato

1ST DENTAL BATTALION/NAVAL DENTAL CENTER

Camp Pendleton, CA92055Military Outpatient Operational (Transportable) ComponentDIRECTOR FOR ADMINISTRATION
Sherry Waclawski

1ST DENTAL CO DET LAS FLORES

Camp Pendleton, CA92055Military Outpatient Operational (Transportable) ComponentMEDICAL STAFF SERVICE PROFESSIONAL
Luanne Walters

1ST DENTAL CO DET LAS PULGAS

Camp Pendleton, CA92055Military Outpatient Operational (Transportable) ComponentMEDICAL STAFF SERVICE PROFESSIONAL
Luanne Walters

1ST DENTAL CO DET MARGARITA

Camp Pendleton, CA92055Military Outpatient Operational (Transportable) ComponentMEDICAL STAFF SERVICE PROFESSIONAL
Luanne Walters

1ST DENTAL CO DET SAN METEO

Camp Pendleton, CA92055Military Outpatient Operational (Transportable) ComponentMEDICAL STAFF SERVICE PROFESSIONAL
Luanne Walters

1ST FAMILY CLINIC, LLC

Hornersville, MO63855Military Outpatient Operational (Transportable) ComponentOWNER, BUSINESS MANAGER
Deborah Crosskno

1ST LINE MEDICAL, INC.

Holderness, NH03245Military Outpatient Operational (Transportable) ComponentPRESIDENT
Scott Whitcomb

1ST MEDICAL OF ANNAPOLIS, INC.

Edgewater, MD21037Military Outpatient Operational (Transportable) ComponentOWNER
Veronica Dickson

1ST MEDICAL, LLC

South Miami, FL33143Military Outpatient Operational (Transportable) ComponentMEDICAL DIRECTOR
Abel Ramos

1ST NATIONAL ROCK OF AGES CATHEDRAL

Rocky Mount, NC27801Military Outpatient Operational (Transportable) ComponentPRESIDENT
Jimmy Williams

1ST OPEN MRI.LLC

Miami, FL33145Military Outpatient Operational (Transportable) ComponentPRESIDENT
Luis Acosta

1ST PHYSICIAN REHABILITATION, INC.

Louisville, KY40216Military Outpatient Operational (Transportable) ComponentADMIN.
Jill Mersek

1ST RECON BATTALION MEDICAL

Oceanside, CA92058Military Outpatient Operational (Transportable) ComponentBATTALION SURGEON
Jason Roby

1ST STOP URGENT CARE & FAMILY PRACTICE

Camarillo, CA93010Military Outpatient Operational (Transportable) ComponentMEDICAL DIRECTOR
Raphael Argueta

2 MEDICAL GROUP

Barksdale Afb, LA71110Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

20 MILE URGENT CARE PLLC

Parker, CO80134Military Outpatient Operational (Transportable) ComponentPHYSICIAN-OWNER
Stephen Morrison

20-20 SURGERY CENTER LLC

Greensburg, PA15601Military Outpatient Operational (Transportable) ComponentOWNER MEDICAL DOCTOR
H Hartman

2001 SURGERY CENTER, LLC

Santa Monica, CA90404Military Outpatient Operational (Transportable) ComponentOWNER
Robert Amonic

2047 PALM BEACH LAKES PARTNERS LLC

West Palm Beach, FL33409Military Outpatient Operational (Transportable) ComponentMANAGING PARTNER
Jonathan Cutler

2096 EAST OCEAN BOULEVARD, LC

Stuart, FL34996Military Outpatient Operational (Transportable) ComponentADMINISTRATOR
Barbara Tidwell

20TH MEDICAL GROUP SHAW

Shaw Afb, SC29152Military Outpatient Operational (Transportable) ComponentAIR FORCE UNIFORM BUSINESS OFFICE
Serena Hansken

20TH STREET SURGERY CENTER, LLC

Santa Monica, CA90404Military Outpatient Operational (Transportable) ComponentMEDICAL DIRECTOR
Barbara Hayden

210 FAMILY CHIROPRACTIC CENTER LLC

Saint Augustine, FL32092Military Outpatient Operational (Transportable) ComponentOWNER
Agostinho Oliveira

2116 KINGS HIGHWAY GI PLLC

Brooklyn, NY11229Military Outpatient Operational (Transportable) ComponentMEDICAL DIRECTOR
Bharat Sanghavi

2121 SURGERY CENTER LIMITED PARTNERSHIP

Santa Monica, CA90403Military Outpatient Operational (Transportable) ComponentVP/SECRETARY
Richard Sharff

217 REHAB & PERFORMANCE CENTER

Champaign, IL61822Military Outpatient Operational (Transportable) ComponentCONTROLLER/HUMAN RESOURCES DIRECTOR
Lindsey Perrine

21ST CENTURY REHAB PC

Altoona, IA50009Military Outpatient Operational (Transportable) ComponentCFO
Michelle Cassabaum

21ST CENTURY REHAB, PC

Grimes, IA50111Military Outpatient Operational (Transportable) ComponentCFO
Michelle Cassabaum
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