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A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military General Acute Care Hospital |
2865M2000X | |||
Military and U.S. Coast Guard Ambulatory Procedure |
261QM1101X | |||
Military/U.S. Coast Guard Outpatient |
261QM1100X | |||
Military/U.S. Coast Guard Pharmacy |
332000000X | 87 | All Other Suppliers | |
Military/U.S. Coast Guard Transport |
341800000X |
| NPI # | 1831146281 |
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| LBN Legal business name | AMC TRIPLER-SHAFTER | ||||||||
| Authorized official | JOE PALUMBO - (UBO MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 05/30/2006 | ||||||||
| Last updated | 05/21/2025 - More than a year ago | ||||||||
| Identifiers |
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AMC TRIPLER-SHAFTER
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| GABRIELA ORTIZ-OMPHROY MD LLC 98-1079 MOANALUA RD STE 680 AIEA, HI |
| SUSAN J LICOAN, PSYD 39 3301 MILO PLACE ‘O‘OKALA, HI |
| KATHERINE D PERCY, DO 1 JARRETT WHITE ROAD 1 JARRETT WHITE ROAD, HI |
AMC TRIPLER-SHAFTER