PATTERSON AHC – NPI #1912006685
Clinic/Center

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.

PATTERSON AHC is an AHC clinic located in FORT MONMOUTH, NJ. NPPES has assigned the NPI number 1912006685 to PATTERSON AHC on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PATTERSON AHC” is a dba name, the actual legal business name for this organization is KELLER ARMY COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 12 years ago on Apr 21, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATTERSON AHC below.

NPI Profile for
KELLER ARMY COMMUNITY HOSPITAL

NPI Number
1912006685
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KELLER ARMY COMMUNITY HOSPITAL
Doing Business As (dba): PATTERSON AHC
Primary location
BLDG. 1075 STEPHENSON AVE.
FORT MONMOUTH, NJ 07703
Phone: (845) 938-8239 Fax:
Mailing address
900 WASHINGTON RD
ATTN MCUD-RMD-UBO
WEST POINT, NY 10996-1197
Phone: (845) 938-8239 Fax:
Organization Subpart
Yes - PATTERSON AHC is subpart of another organization.
Authorized Official
KENNETH TUFFY
UBO MANAGER
Phone: (845) 938-8239
Updated
Identifiers

Identifiers for PATTERSON AHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPARENT FACILITY NPI1528161916
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.