121ST GENERAL HOSPITAL(BRAIN ALLGOOD ARMY COMMUNITY HOSPITAL) — NPI 1417287368 (Licensed & Credentialed Hospitals

CMS-1500 Box 24J / 33a • NPI

1417287368

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

286500000X (CMS A0[7])

Licensed & Credentialed Hospitals — Military Hospital

Box 32 Service Location & ZIP+4

UNIT 15549 BOX 59, APO, AP, 96205-5549

✓ 9-Digit EDI 837 ZIP+4 (96205-5549)

Practice Phone & Referral Fax

82279173275

Fax: 82279176034

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417287368 (121ST GENERAL HOSPITAL(BRAIN ALLGOOD ARMY COMMUNITY HOSPITAL)) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1417287368` (NPI-2 Organization / Facility)
Provider / Legal Name	121ST GENERAL HOSPITAL(BRAIN ALLGOOD ARMY COMMUNITY HOSPITAL)
Plain-English Specialty	Licensed & Credentialed Hospitals — Military Hospital NUCC Code: `286500000X` (Military Hospital)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	UNIT 15549 BOX 59, APO, AP, 96205-5549
Practice Telephone / Fax	Tel: 82279173275 \| Fax: 82279176034
Administrative Mailing Address	DODDS-K SAHS, APO, AP, 96205-5549
Enumeration & Last Sync	Enumerated: 2009-12-28 \| CMS Record Updated: 2009-12-28
Authorized Official	DORENE LUKE-WALTON (Pharmacist/Pyxis Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

UNIT 15549 BOX 59, APO, AP, 96205-5549

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Plain-English Taxonomy & CMS Crosswalk (286500000X)

What Does Taxonomy Code 286500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 286500000X translates to:
"Licensed & Credentialed Hospitals — Military Hospital"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospitals)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Military Hospital for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (121ST GENERAL HOSPITAL(BRAIN ALLGOOD ARMY COMMUNITY HOSPITAL))

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2865M2000X` — Military Hospital, Military General Acute Care Hospital Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: VA \| License: `0202202906` \| Primary: Secondary
`286500000X` — Military Hospital Plain English: Licensed & Credentialed Hospitals — Military Hospital	State: VA \| License: `0202202906` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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121ST GENERAL HOSPITAL(BRAIN ALLGOOD ARMY COMMUNITY HOSPITAL) (NPI #1417287368)