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DMIS ID Table Changes - Excel

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					                                                                                                                                                                      201008 DMIS ID Table Change Report
                                                                                                                                                                                     Army

                                                                                                                                                                                                                                                                                                             Authorized          Branch of
                                    Facility                                                                                                                                 Facility   Facility                        Facility 5-   Facility 4-   Health    US     DMIS               Service   Facility   TRICARE             Service/
      DMIS            MEPRS Unit    Service    Facility                                                                                                                      Country    State                           Digit ZIP     Digit ZIP     Service   Flag   Parent   MEPRS     Area      Command    Enrollment   DHP    Authority   NPI 2                       NPI 2 HIPAA
      ID       DCW ID ID            Code       Type Code DMIS Facility Name                           Facility Name                               Installation Name          Code       Code       Facility City Name   Code          Code          Region    Code   ID       Parent ID Code      Code       Site (Y/N)   Code   Code        Required   NPI 2 Number     Taxonomy


TO   1488                            A         CLINIC     TMC #2 (USDB 2)-FT LEAVENWORTH              TMC #2 (USDB 2)-FT LEAVENWORTH              FORT LEAVENWORTH           US         KS         FORT LEAVENWORTH     66027                       19        Y      0058     0058                WRMC       N            Y      A           Y          *1154641561       *261QM1100X
FROM 1488                            A         CLINIC     TMC #2 (USDB 2)-FT LEAVENWORTH              TMC #2 (USDB 2)-FT LEAVENWORTH              FORT LEAVENWORTH           US         KS         FORT LEAVENWORTH     66027                       19        Y      0058     0058                WRMC       N            Y      A           Y          *                 *

TO   6105                            A         CLINIC     CBPCC 1-FT. BRAGG                           COMMUNITY BASED PRIMARY CC 1-FT. BRAGG      FT. BRAGG                  US         NC         *FAYETTEVILLE        *28304        *             17        Y      0089     0089                NRMC       Y            Y      A           Y
FROM 6105                            A         CLINIC     CBPCC 1-FT. BRAGG                           COMMUNITY BASED PRIMARY CC 1-FT. BRAGG      FT. BRAGG                  US         NC         *FORT BRAGG          *28310        *5000         17        Y      0089     0089                NRMC       Y            Y      A           Y

TO   6106                            A         CLINIC     CBPCC 2-FT. BRAGG                           COMMUNITY BASED PRIMARY CC 2-FT. BRAGG      FT. BRAGG                  US         NC         *HOPE MILLS          *28348        *             17        Y      0089     0089                NRMC       Y            Y      A           Y
FROM 6106                            A         CLINIC     CBPCC 2-FT. BRAGG                           COMMUNITY BASED PRIMARY CC 2-FT. BRAGG      FT. BRAGG                  US         NC         *FORT BRAGG          *28310        *5000         17        Y      0089     0089                NRMC       Y            Y      A           Y

TO   6111                            A         CLINIC     CBPCC 1-FT. HOOD                            COMMUNITY BASED PRIMARY CC 1-FT. HOOD       FT. HOOD                   US         TX         *HARKER HEIGHTS      *76548        *             18        Y      0110     0110                SRMC       Y            Y      A           Y
FROM 6111                            A         CLINIC     CBPCC 1-FT. HOOD                            COMMUNITY BASED PRIMARY CC 1-FT. HOOD       FT. HOOD                   US         TX         *FORT HOOD           *76544        *4752         18        Y      0110     0110                SRMC       Y            Y      A           Y

TO   6112                            A         CLINIC     CBPCC 2-FT. HOOD                            COMMUNITY BASED PRIMARY CC 2-FT. HOOD       FT. HOOD                   US         TX         *KILLEEN             *76542        *             18        Y      0110     0110                SRMC       Y            Y      A           Y
FROM 6112                            A         CLINIC     CBPCC 2-FT. HOOD                            COMMUNITY BASED PRIMARY CC 2-FT. HOOD       FT. HOOD                   US         TX         *FORT HOOD           *76544        *4752         18        Y      0110     0110                SRMC       Y            Y      A           Y

TO   6114                            A         CLINIC     CBPCC 1-FT. JACKSON                         COMMUNITY BASED PRIMARY CC 1-FT. JACKSON    FT. JACKSON                US         SC         COLUMBIA             *29223        *             18        Y      0105     0105                SRMC       Y            Y      A           Y          *1972823722       *261QM1100X
FROM 6114                            A         CLINIC     CBPCC 1-FT. JACKSON                         COMMUNITY BASED PRIMARY CC 1-FT. JACKSON    FT. JACKSON                US         SC         COLUMBIA             *29207        *5720         18        Y      0105     0105                SRMC       Y            Y      A           Y          *                 *

TO   6115                            A         CLINIC     CBPCC 1-FT. LEONARD WOOD                    COMMUNITY BASED PRIMARY CC 1-FT. L WOOD     FT. LEONARD WOOD           US         MO         *WAYNESVILLE         *65583        *             19        Y      0075     0075                WRMC       Y            Y      A           Y          *1942529961       *261QM1100X
FROM 6115                            A         CLINIC     CBPCC 1-FT. LEONARD WOOD                    COMMUNITY BASED PRIMARY CC 1-FT. L WOOD     FT. LEONARD WOOD           US         MO         *FORT LEONARD WOOD   *65473        *8952         19        Y      0075     0075                WRMC       Y            Y      A           Y          *                 *

TO   6121                            A         CLINIC     CBPCC 1-FT. SILL                            COMMUNITY BASED PRIMARY CC 1-FT. SILL       FT. SILL                   US         OK         *LAWTON              *73505        *             18        Y      0098     0098                SRMC       Y            Y      A           Y          *1821318668       *261QM1100X
FROM 6121                            A         CLINIC     CBPCC 1-FT. SILL                            COMMUNITY BASED PRIMARY CC 1-FT. SILL       FT. SILL                   US         OK         *FORT SILL           *73503        *9042         18        Y      0098     0098                SRMC       Y            Y      A           Y          *                 *

TO   6122                            A         CLINIC     CBPCC 1-FT. STEWART                         COMMUNITY BASED PRIMARY CC 1-FT. STEWART    FT. STEWART                US         GA         *RICHMOND HILL       *31324        *             18        Y      0049     0049                SRMC       Y            Y      A           Y
FROM 6122                            A         CLINIC     CBPCC 1-FT. STEWART                         COMMUNITY BASED PRIMARY CC 1-FT. STEWART    FT. STEWART                US         GA         *FORT STEWART        *31314        *5611         18        Y      0049     0049                SRMC       Y            Y      A           Y

TO   6123                            A         CLINIC     CBPCC 2-FT. STEWART                         COMMUNITY BASED PRIMARY CC 2-FT. STEWART    FT. STEWART                US         GA         *RICHMOND HILL       *31324        *             18        Y      0049     0049                SRMC       Y            Y      A           Y
FROM 6123                            A         CLINIC     CBPCC 2-FT. STEWART                         COMMUNITY BASED PRIMARY CC 2-FT. STEWART    FT. STEWART                US         GA         *FORT STEWART        *31314        *5611         18        Y      0049     0049                SRMC       Y            Y      A           Y

TO   6124                            A         CLINIC     *CBPCC 1-FT. BENNING                        *COMMUNITY BASED PRIMARY CC 1-FT. BENNING   *FT. BENNING               US         *GA        *FORT BENNING        *31905        *             *18       Y      *0048    *0048               *SRMC      Y            Y      A           Y
FROM 6124                            A         CLINIC     *CBPCC 1-FT. RILEY                          *COMMUNITY BASED PRIMARY CC 1-FT. RILEY     *FT. RILEY                 US         *KS        *FORT RILEY          *66442        *5037         *19       Y      *0057    *0057               *WRMC      Y            Y      A           Y

NEW   1330             W2L3AA        A         CLINIC     CTMC 2-HARMONY CHURCH                       CTMC 2-HARMONY CHURCH-FT. BENNING           FT. BENNING                US         GA         FORT BENNING         31905         5637          18        Y      0048     0048                SRMC       Y            Y      A           Y
NEW   6024                           A         CLINIC     FT. L WOOD BATTALION AID STN                FT. LEONARD WOOD BATTALION AID STATION      FT. LEONARD WOOD           US         MO         FORT LEONARD WOOD    65473                       19        Y      5273                                    N            N      D




             Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report.                                                                                                                                                                                                                                                   1
                                                                                                                                                                                                                                                                                                                                                                       11/10/2011
                                                                                                                                               201008 DMIS ID Table Change Report
                                                                                                                                                              Navy



                                                                                                                                                                                                                                                                             Authorized          Branch of
                          Facility   Facility                                                                                                    Facility   Facility                      Facility 5-   Facility 4-   Health    US     DMIS     MEPRS Service                TRICARE             Service/
      DMIS        MEPRS Service      Type                                                                                                        Country    State                         Digit ZIP     Digit ZIP     Service   Flag   Parent   Parent Area     Facility     Enrollment   DHP    Authority   NPI 2                     NPI 2 HIPAA
      ID   DCW ID Unit ID Code       Code       DMIS Facility Name                    Facility Name                        Installation Name     Code       Code     Facility City Name   Code          Code          Region    Code   ID       ID     Code     Command Code Site (Y/N)   Code   Code        Required   NPI 2 Number   Taxonomy


No Changes




        Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report.                                                                                                                                                                                                                        2
                                                                                                                                                                                                                                                                                                                                       11/10/2011
                                                                                                                                                201008 DMIS ID Table Change Report
                                                                                                                                                             Air Force



                                                                                                                                                                                                            Facility   Facility                                                      Authorized          Branch of
                              Facility                                                                                                                             Facility   Facility                      5-Digit    4-Digit Health     US     DMIS     MEPRS Service   Facility   TRICARE             Service/
              DCW   MEPRS     Service Facility                                                                                                                     Country    State                         ZIP        ZIP      Service   Flag   Parent   Parent Area     Command    Enrollment   DHP    Authority   NPI 2                     NPI 2 HIPAA
      DMIS ID ID    Unit ID   Code     Type Code   DMIS Facility Name                     Facility Name                     Installation Name                      Code       Code     Facility City Name   Code       Code     Region    Code   ID       ID     Code     Code       Site (Y/N)   Code   Code        Required   NPI 2 Number   Taxonomy


No Changes




         Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report.                                                                                                                                                                                                                                3
                                                                                                                                                                                                                                                                                                                                                11/10/2011
                                                                                                                                         201008 DMIS ID Table Change Report
                                                                                                                                                        Other



                                                                                                                                                                                         Facility   Facility                                                      Authorized          Branch of
                 Facility                                                                                                                       Facility   Facility                      5-Digit    4-Digit Health     US     DMIS     MEPRS Service   Facility   TRICARE             Service/
DMIS DCW MEPRS Service      Facility                                                                                                            Country    State                         ZIP        ZIP      Service   Flag   Parent   Parent Area     Command    Enrollment   DHP    Authority   NPI 2                     NPI 2 HIPAA
ID   ID  Unit ID Code       Type Code DMIS Facility Name                   Facility Name                             Installation Name          Code       Code     Facility City Name   Code       Code     Region    Code   ID       ID     Code     Code       Site (Y/N)   Code   Code        Required   NPI 2 Number   Taxonomy




  Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report.                                                                                                                                                                                                                   4
                                                                                                                                                                                                                                                                                                                            11/10/2011

				
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