200708 DMIS ID Table Change Report
Army
Facility Facility US Authorized Branch of
Facility Facility Facility 5-Digit 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DCW MEPRS Unit Service Facility Country State ZIP ZIP Service Cod Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
DMIS ID ID ID Code Type Code DMIS Facility Name Facility Name Installation Name Code Code Facility City Name Code Code Region e ID ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 0471 125A A DENTAL USADC FT. MCCOY USADC FT. MCCOY FT. MCCOY US WI 54659 17 Y 0061 0061 NARMC N Y A *Y *1093910481 *261QM1100X
FROM 0471 125A A DENTAL USADC FT. MCCOY USADC FT. MCCOY FT. MCCOY US WI 54659 17 Y 0061 0061 NARMC N Y A * * *
TO 0502 00Y1 WSA6AA A HOSP 399TH CSH (TOE) 399th COMBAT SUPPORT HOSPITAL (TOE) *IZ * * * * *13 *N *7437 N N D
FROM 0502 00Y1 WSA6AA A HOSP 399TH CSH (TOE) 399th COMBAT SUPPORT HOSPITAL (TOE) *US *MA *TAUNTON *02780 *2399 *17 *Y *0502 N N D
TO 0504 10D1 WTLNAA A HOSP 352ND CSH (TOE) 352ND COMBAT SUPPORT HOSPITAL (TOE) *RB * * * * *13 *N *7303 N N D
FROM 0504 10D1 WTLNAA A HOSP 352ND CSH (TOE) 352ND COMBAT SUPPORT HOSPITAL (TOE) *US *CA *OAKLAND *94626 *5792 *19 *Y *0504 N N D
TO 0892 033C A DENTAL USADC WIESBADEN USADC WIESBADEN WIESBADEN GM WIESBADEN 09096 13 N 0607 0607 ERMC N Y A *Y *1194920165 *261QM1100X
FROM 0892 033C A DENTAL USADC WIESBADEN USADC WIESBADEN WIESBADEN GM WIESBADEN 09096 13 N 0607 0607 ERMC N Y A * * *
TO 1023 A DENTAL USADC NATO USADC NATO BRUSSELS BE BRUSSELS 09724 13 N 0607 0607 ERMC N Y A *Y *1023213808 *261QM1100X
FROM 1023 A DENTAL USADC NATO USADC NATO BRUSSELS BE BRUSSELS 09724 13 N 0607 0607 ERMC N Y A * * *
TO 1025 A DENTAL USADC SHAPE USADC SHAPE BELGIUM BE MONS 09705 13 N 0607 0607 ERMC N Y A *Y *1720283500 *261QM1100X
FROM 1025 A DENTAL USADC SHAPE USADC SHAPE BELGIUM BE MONS 09705 13 N 0607 0607 ERMC N Y A * * *
TO 1046 A DENTAL USADC BUEDINGEN USADC BUEDINGEN BUEDINGEN GM BUEDINGEN 09076 13 N 0606 0606 ERMC N Y A *Y *1528263639 *261QM1100X
FROM 1046 A DENTAL USADC BUEDINGEN USADC BUEDINGEN BUEDINGEN GM BUEDINGEN 09076 13 N 0606 0606 ERMC N Y A * * *
TO 1047 A DENTAL USADC GIESSEN DC USADC GIESSEN DC GIESSEN GM GIESSEN 09045 13 N 0606 0606 ERMC N Y A *Y *1588869606 *261QM1100X
FROM 1047 A DENTAL USADC GIESSEN DC USADC GIESSEN DC GIESSEN GM GIESSEN 09045 13 N 0606 0606 ERMC N Y A * * *
TO 1049 A DENTAL USADC DARMSTADT USADC DARMSTADT DARMSTADT GM DARMSTADT 09175 13 N 0606 0606 ERMC N Y A *Y *1912102039 *261QM1100X
FROM 1049 A DENTAL USADC DARMSTADT USADC DARMSTADT DARMSTADT GM DARMSTADT 09175 13 N 0606 0606 ERMC N Y A * * *
TO 1061 A DENTAL USADC WACKERHEIM USADC WACKERHEIM WACHERHEIM GM WACHERHEIM 09185 13 N 0607 0607 ERMC N Y A *Y *1881899672 *261QM1100X
FROM 1061 A DENTAL USADC WACKERHEIM USADC WACKERHEIM WACHERHEIM GM WACHERHEIM 09185 13 N 0607 0607 ERMC N Y A * * *
TO 1064 A DENTAL USADC HANAU USADC HANAU HANAU GM HANAU 09165 13 N 0606 0606 ERMC N Y A *Y *1518162643 *261QM1100X
FROM 1064 A DENTAL USADC HANAU USADC HANAU HANAU GM HANAU 09165 13 N 0606 0606 ERMC N Y A * * *
TO 1066 A DENTAL USADC-BEN FRANKLIN VILLAGE DC USADC-BEN FRANKLIN VILL DC (BVF) MANNHEIM MANNHEIM-KAEFERTAL GM MANNHEIM-KAEFERTAL 09086 13 N 0606 0606 ERMC N Y A *Y *1275738304 *261QM1100X
FROM 1066 A DENTAL USADC-BEN FRANKLIN VILLAGE DC USADC-BEN FRANKLIN VILL DC (BVF) MANNHEIM MANNHEIM-KAEFERTAL GM MANNHEIM-KAEFERTAL 09086 13 N 0606 0606 ERMC N Y A * * *
TO 1067 A DENTAL USADC COLEMAN BARRACKS USADC COLEMAN BARRACKS MANNHEIM-SANDHOFEN GM MANNHEIM-SANDHOFEN 09028 13 N 0606 0606 ERMC N Y A *Y *1982809026 *261QM1100X
FROM 1067 A DENTAL USADC COLEMAN BARRACKS USADC COLEMAN BARRACKS MANNHEIM-SANDHOFEN GM MANNHEIM-SANDHOFEN 09028 13 N 0606 0606 ERMC N Y A * * *
TO 1068 A DENTAL USADC HEIDELBERG-GERMANY USADC HEIDELBERG-GERMANY GERMANY GM 09102 13 N 0606 0606 ERMC N Y A *Y *1225233364 *261QM1100X
FROM 1068 A DENTAL USADC HEIDELBERG-GERMANY USADC HEIDELBERG-GERMANY GERMANY GM 09102 13 N 0606 0606 ERMC N Y A * * *
TO 1074 A DENTAL USADC KLEBER USADC KLEBER KAISERSLAUTERN GM KAISERSLAUTERN 09054 13 N 0607 0607 ERMC N Y A *Y *1669677456 *261QM1100X
FROM 1074 A DENTAL USADC KLEBER USADC KLEBER KAISERSLAUTERN GM KAISERSLAUTERN 09054 13 N 0607 0607 ERMC N Y A * * *
TO 1076 A DENTAL USADC LANDSTUHL-GERMANY USADC LANDSTUHL-GERMANY GERMANY GM 09180 13 N 0607 0607 ERMC N Y A *Y *1073718896 *261QM1100X
FROM 1076 A DENTAL USADC LANDSTUHL-GERMANY USADC LANDSTUHL-GERMANY GERMANY GM 09180 13 N 0607 0607 ERMC N Y A * * *
TO 1078 A DENTAL USADC VOGELWEH-KAISERSLAUTRN USADC VOGELWEH-KAISERSLAUTRN VOGELWEH GM VOGELWEH 09094 13 N 0607 0607 ERMC N Y A *Y *1962607788 *261QM1100X
FROM 1078 A DENTAL USADC VOGELWEH-KAISERSLAUTRN USADC VOGELWEH-KAISERSLAUTRN VOGELWEH GM VOGELWEH 09094 13 N 0607 0607 ERMC N Y A * * *
TO 1081 A DENTAL USADC BAUMHOLDER USADC BAUMHOLDER GERMANY GM 09034 13 N 0607 0607 ERMC N Y A *Y *1942405766 *261QM1100X
FROM 1081 A DENTAL USADC BAUMHOLDER USADC BAUMHOLDER GERMANY GM 09034 13 N 0607 0607 ERMC N Y A * * *
TO 1086 A DENTAL USADC KATTERBACH USADC KATTERBACH KATTERBACH GM KATTERBACH 09250 13 N 0609 0609 ERMC N Y A *Y *1588869317 *261QM1100X
FROM 1086 A DENTAL USADC KATTERBACH USADC KATTERBACH KATTERBACH GM KATTERBACH 09250 13 N 0609 0609 ERMC N Y A * * *
TO 1091 A DENTAL USADC ILLESHEIM USADC ILLESHEIM ILLESHEIM GM ILLESHEIM 09140 13 N 0609 0609 ERMC N Y A *Y *1104021849 *261QM1100X
FROM 1091 A DENTAL USADC ILLESHEIM USADC ILLESHEIM ILLESHEIM GM ILLESHEIM 09140 13 N 0609 0609 ERMC N Y A * * *
TO 1093 A DENTAL USADC HOHENFELS USADC HOHENFELS HOHENFELS GM HOHENFELS 09173 13 N 0609 0609 ERMC N Y A *Y *1700081445 *261QM1100X
FROM 1093 A DENTAL USADC HOHENFELS USADC HOHENFELS HOHENFELS GM HOHENFELS 09173 13 N 0609 0609 ERMC N Y A * * *
TO 1094 A DENTAL USADC BAMBERG USADC BAMBERG BAMBERG GM BAMBERG 09139 13 N 0609 0609 ERMC N Y A *Y *1235334970 *261QM1100X
FROM 1094 A DENTAL USADC BAMBERG USADC BAMBERG BAMBERG GM BAMBERG 09139 13 N 0609 0609 ERMC N Y A * * *
TO 1100 A DENTAL USADC VICENZA USADC VICENZA VICENZA IT VICENZA 09630 13 N 0607 0607 ERMC N Y A *Y *1730384553 *261QM1100X
FROM 1100 A DENTAL USADC VICENZA USADC VICENZA VICENZA IT VICENZA 09630 13 N 0607 0607 ERMC N Y A * * *
TO 1101 A DENTAL USADC LIVORNO USADC LIVORNO LIVORNO IT LIVORNO 09630 13 N 0607 0607 ERMC N Y A *Y *1629273453 *261QM1100X
FROM 1101 A DENTAL USADC LIVORNO USADC LIVORNO LIVORNO IT LIVORNO 09630 13 N 0607 0607 ERMC N Y A * * *
TO 1105 A DENTAL USADC CAMP ZAMA USADC CAMP ZAMA CAMP ZAMA JA 96338 14 N 0610 0610 PRMC N Y A *Y *1720283591 *261QM1100X
FROM 1105 A DENTAL USADC CAMP ZAMA USADC CAMP ZAMA CAMP ZAMA JA 96338 14 N 0610 0610 PRMC N Y A * * *
TO 1238 W3ZT67 A DENTAL USADC-1 RESTONE ARSENAL USADC-1 REDSTONE ARSENAL REDSTONE ARSENAL US AL 35898 18 Y 0001 0001 SERMC N Y A *Y *1871796334 *261QM1100X
FROM 1238 W3ZT67 A DENTAL USADC-1 RESTONE ARSENAL USADC-1 REDSTONE ARSENAL REDSTONE ARSENAL US AL 35898 18 Y 0001 0001 SERMC N Y A * * *
TO 1246 A DENTAL USADC-1 FT. RILEY USADC-1 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A *Y *1134323413 *261QM1100X
FROM 1246 A DENTAL USADC-1 FT. RILEY USADC-1 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A * * *
TO 1482 W3ZS11 A DENTAL USADC PENTAGON USADC PENTAGON PENTAGON US DC 20310 5802 17 Y 0037 0037 NARMC N Y A *Y *1881897544 *261QM1100X
FROM 1482 W3ZS11 A DENTAL USADC PENTAGON USADC PENTAGON PENTAGON US DC 20310 5802 17 Y 0037 0037 NARMC N Y A * * *
TO 1483 W3U584 A DENTAL USADC CAMP ATTERBURY USADC CAMP ATTERBURY CAMP ATTERBURY US IN EDINBURGH 46124 1096 17 Y 0061 0061 NARMC N Y A *Y *1316142631 *261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 1
11/23/2011
200708 DMIS ID Table Change Report
Army
Facility Facility US Authorized Branch of
Facility Facility Facility 5-Digit 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DCW MEPRS Unit Service Facility Country State ZIP ZIP Service Cod Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
DMIS ID ID ID Code Type Code DMIS Facility Name Facility Name Installation Name Code Code Facility City Name Code Code Region e ID ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
FROM 1483 W3U584 A DENTAL USADC CAMP ATTERBURY USADC CAMP ATTERBURY CAMP ATTERBURY US IN EDINBURGH 46124 1096 17 Y 0061 0061 NARMC N Y A * * *
TO 1562 137A A *INACT TMC-1-FT. STEWART TMC-1-FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC Y Y *I Y 1700092897
FROM 1562 137A A *CLINIC TMC-1-FT. STEWART TMC-1-FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC Y Y *A Y 1700092897
TO 1825 A DENTAL USADC LARSON USADC LARSON FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A *Y *1215130703 *261QM1100X
FROM 1825 A DENTAL USADC LARSON USADC LARSON FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A * * *
TO 1826 A DENTAL USADC SMITH USADC SMITH FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A *Y *1134322993 *261QM1100X
FROM 1826 A DENTAL USADC SMITH USADC SMITH FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A * * *
TO 1827 A DENTAL USADC-1 FT. CARSON USADC-1 FT. CARSON FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A *Y *1124221619 *261QM1100X
FROM 1827 A DENTAL USADC-1 FT. CARSON USADC-1 FT. CARSON FT. CARSON US CO 80913 19 Y 0032 0032 GPRMC N Y A * * *
TO 1829 A DENTAL USADC-3 FT. RILEY USADC-3 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A *Y *1184828311 *261QM1100X
FROM 1829 A DENTAL USADC-3 FT. RILEY USADC-3 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A * * *
TO 1830 A DENTAL USADC-4 FT. RILEY USADC-4 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A *Y *1629272547 *261QM1100X
FROM 1830 A DENTAL USADC-4 FT. RILEY USADC-4 FT. RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A * * *
TO 1832 A DENTAL USADC-RECEPTION STA 7 FT RILEY USADC-RECEPTION STATION 7 FT RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A *Y *1992909824 *261QM1100X
FROM 1832 A DENTAL USADC-RECEPTION STA 7 FT RILEY USADC-RECEPTION STATION 7 FT RILEY FT. RILEY US KS 66442 19 Y 0057 0057 GPRMC N Y A * * *
TO 1833 A DENTAL USADC SMITH USADC SMITH FT. LEAVENWORTH US KS 66027 19 Y 0058 0058 GPRMC N Y A *Y *1356545057 *261QM1100X
FROM 1833 A DENTAL USADC SMITH USADC SMITH FT. LEAVENWORTH US KS 66027 19 Y 0058 0058 GPRMC N Y A * * *
TO 1835 A DENTAL USADC-DISC BKS #3 FT LEVENWORT USADC-DISCIPLINY BKS #3 FT LEAVENWORTH FT. LEAVENWORTH US KS 66027 19 Y 0058 0058 GPRMC N Y A *Y *1063617447 *261QM1100X
FROM 1835 A DENTAL USADC-DISC BKS #3 FT LEVENWORT USADC-DISCIPLINY BKS #3 FT LEAVENWORTH FT. LEAVENWORTH US KS 66027 19 Y 0058 0058 GPRMC N Y A * * *
TO 1836 A DENTAL USADC RUNION USADC RUNION FT. HUACHUCA US AZ 85613 19 Y 0008 0008 GPRMC N Y A *Y *1306049895 *261QM1100X
FROM 1836 A DENTAL USADC RUNION USADC RUNION FT. HUACHUCA US AZ 85613 19 Y 0008 0008 GPRMC N Y A * * *
TO 1842 A DENTAL USA CHESER DC-FT. POLK USA CHESER DC-FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A *Y *1861697419 *261QM1100X
FROM 1842 A DENTAL USA CHESER DC-FT. POLK USA CHESER DC-FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A * * *
TO 1844 A DENTAL USADC-3 FT. POLK USADC-3 FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A *Y *1811192461 *261QM1100X
FROM 1844 A DENTAL USADC-3 FT. POLK USADC-3 FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A * * *
TO 1866 A DENTAL USADC ROLL-FT. LEONARD WOOD USADC ROLL-FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A *Y *1760687214 *261QM1100X
FROM 1866 A DENTAL USADC ROLL-FT. LEONARD WOOD USADC ROLL-FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A * * *
TO 1867 A DENTAL USADC-5&6 FT. LEONARD WOOD USADC-5&6 FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A *Y *1801091350 *261QM1100X
FROM 1867 A DENTAL USADC-5&6 FT. LEONARD WOOD USADC-5&6 FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A * * *
TO 1870 A DENTAL USADC-1 FT. RUCKER USADC-1 FT. RUCKER FT. RUCKER US AL 36362 18 Y 0003 0003 SERMC N Y A *Y *1144423617 *261QM1100X
FROM 1870 A DENTAL USADC-1 FT. RUCKER USADC-1 FT. RUCKER FT. RUCKER US AL 36362 18 Y 0003 0003 SERMC N Y A * * *
TO 1875 A DENTAL USA ORAL HEALTH CENTER FT. GOR USA ORAL HEALTH CENTER FT. GORDON FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A *Y *1346443017 *261QM1100X
FROM 1875 A DENTAL USA ORAL HEALTH CENTER FT. GOR USA ORAL HEALTH CENTER FT. GORDON FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A * * *
TO 1877 A DENTAL USADC FT. MCPHERSON USADC FT. MCPHERSON FT. MCPHERSON US GA 30330 18 Y 0047 0047 SERMC N Y A *Y *1619170198 *261QM1100X
FROM 1877 A DENTAL USADC FT. MCPHERSON USADC FT. MCPHERSON FT. MCPHERSON US GA 30330 18 Y 0047 0047 SERMC N Y A * * *
TO 1879 A DENTAL USADC TINGAY USADC TINGAY FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A *Y *1588868848 *261QM1100X
FROM 1879 A DENTAL USADC TINGAY USADC TINGAY FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A * * *
TO 1880 A DENTAL USADC-SNYDER FT GORDON USADC-SNYDER FT GORDON FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A *Y *1396949657 *261QM1100X
FROM 1880 A DENTAL USADC-SNYDER FT GORDON USADC-SNYDER FT GORDON FT. GORDON US GA 30905 18 Y 0047 0047 SERMC N Y A * * *
TO 1881 A DENTAL USADC BERNHEIM USADC BERNHEIM FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A *Y *1083818280 *261QM1100X
FROM 1881 A DENTAL USADC BERNHEIM USADC BERNHEIM FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 1882 A DENTAL USADC SALOMON USADC SALOMON FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A *Y *1891999090 *261QM1100X
FROM 1882 A DENTAL USADC SALOMON USADC SALOMON FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 1883 A DENTAL USADC-1 FT. BENNING USADC-1 FT. BENNING FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A *Y *1174726640 *261QM1100X
FROM 1883 A DENTAL USADC-1 FT. BENNING USADC-1 FT. BENNING FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 1884 A DENTAL USADC-SOLDIERS PLAZA FT BENNIN USADC-SOLDIERS PLAZA FT BENNING FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A *Y *1245434448 *261QM1100X
FROM 1884 A DENTAL USADC-SOLDIERS PLAZA FT BENNIN USADC-SOLDIERS PLAZA FT BENNING FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 1886 A DENTAL USADC-1 FT. STEWART USADC-1 FT. STEWART FT. STEWART US GA 31313 18 Y 0049 0049 SERMC N Y A *Y *1932302437 *261QM1100X
FROM 1886 A DENTAL USADC-1 FT. STEWART USADC-1 FT. STEWART FT. STEWART US GA 31313 18 Y 0049 0049 SERMC N Y A * * *
TO 1887 A DENTAL USADC-2 FT STEWART USADC-2 FT STEWART FT. STEWART US GA 31313 18 Y 0049 0049 SERMC N Y A *Y *1437353778 *261QM1100X
FROM 1887 A DENTAL USADC-2 FT STEWART USADC-2 FT STEWART FT. STEWART US GA 31313 18 Y 0049 0049 SERMC N Y A * * *
TO 1888 A DENTAL USADC-4 FT. STEWART USADC-4 FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC N Y A *Y *1235333592 *261QM1100X
FROM 1888 A DENTAL USADC-4 FT. STEWART USADC-4 FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC N Y A * * *
TO 1889 A DENTAL USADC EPPERLY USADC EPPERLY FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A *Y *1457556912 *261QM1100X
FROM 1889 A DENTAL USADC EPPERLY USADC EPPERLY FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A * * *
TO 1890 A DENTAL USADC KUHN/LA POINTE USADC KUHN/LA POINTE FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A *Y *1851596233 *261QM1100X
FROM 1890 A DENTAL USADC KUHN/LA POINTE USADC KUHN/LA POINTE FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A * * *
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 2
11/23/2011
200708 DMIS ID Table Change Report
Army
Facility Facility US Authorized Branch of
Facility Facility Facility 5-Digit 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DCW MEPRS Unit Service Facility Country State ZIP ZIP Service Cod Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
DMIS ID ID ID Code Type Code DMIS Facility Name Facility Name Installation Name Code Code Facility City Name Code Code Region e ID ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 1891 A DENTAL USADC TAYLOR-5 USADC TAYLOR-5 FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A *Y *1215131933 *261QM1100X
FROM 1891 A DENTAL USADC TAYLOR-5 USADC TAYLOR-5 FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A * * *
TO 1893 A DENTAL USADC LAFLAMME USADC LAFLAMME FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A *Y *1306041884 *261QM1100X
FROM 1893 A DENTAL USADC LAFLAMME USADC LAFLAMME FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 1894 A DENTAL USADC ROHDE USADC ROHDE FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A *Y *1194920678 *261QM1100X
FROM 1894 A DENTAL USADC ROHDE USADC ROHDE FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 1895 A DENTAL USADC-5 FT. BRAGG USADC-5 FT. BRAGG FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A *Y *1447455936 *261QM1100X
FROM 1895 A DENTAL USADC-5 FT. BRAGG USADC-5 FT. BRAGG FT. BRAGG US NC FT. BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 1897 A DENTAL USADC CALDWELL USADC CALDWELL FT. JACKSON US SC 29207 18 Y 0105 0105 SERMC N Y A *Y *1932304946 *261QM1100X
FROM 1897 A DENTAL USADC CALDWELL USADC CALDWELL FT. JACKSON US SC 29207 18 Y 0105 0105 SERMC N Y A * * *
TO 1901 A DENTAL USADC COL BULL USADC COL BULL FT. LEE US VA 23801 17 Y 0122 0122 NARMC N Y A *Y *1689879330 *261QM1100X
FROM 1901 A DENTAL USADC COL BULL USADC COL BULL FT. LEE US VA 23801 17 Y 0122 0122 NARMC N Y A * * *
TO 1902 A DENTAL USADC EDGEWOOD ARSENAL USADC EDGEWOOD ARSENAL EDGEWOOD ARSENAL US MD 21010 17 Y 0069 0069 NARMC N Y A *Y *1093910374 *261QM1100X
FROM 1902 A DENTAL USADC EDGEWOOD ARSENAL USADC EDGEWOOD ARSENAL EDGEWOOD ARSENAL US MD 21010 17 Y 0069 0069 NARMC N Y A * * *
TO 1906 A DENTAL USADC ABERDEEN PROVING GROUNDS USADC ABERDEEN PROVING GROUNDS ABERDEEN PROVING GRND US MD 21005 17 Y 0069 0069 NARMC N Y A *Y *1689879926 *261QM1100X
FROM 1906 A DENTAL USADC ABERDEEN PROVING GROUNDS USADC ABERDEEN PROVING GROUNDS ABERDEEN PROVING GRND US MD 21005 17 Y 0069 0069 NARMC N Y A * * *
TO 1907 A DENTAL USADC EPES USADC EPES FT. MEADE US MD 20755 17 Y 0069 0069 NARMC N Y A *Y *1124223797 *261QM1100X
FROM 1907 A DENTAL USADC EPES USADC EPES FT. MEADE US MD 20755 17 Y 0069 0069 NARMC N Y A * * *
TO 1909 A DENTAL USADC-3 FT. MEADE USADC-3 FT. MEADE FT. MEADE US MD 20755 17 Y 0069 0069 NARMC N Y A *Y *1558566125 *261QM1100X
FROM 1909 A DENTAL USADC-3 FT. MEADE USADC-3 FT. MEADE FT. MEADE US MD 20755 17 Y 0069 0069 NARMC N Y A * * *
TO 1910 A DENTAL USADC FT. MONMOUTH USADC FT. MONMOUTH FT. MONMOUTH US NJ 07703 17 Y 0086 0086 NARMC N Y A *Y *1205031770 *261QM1100X
FROM 1910 A DENTAL USADC FT. MONMOUTH USADC FT. MONMOUTH FT. MONMOUTH US NJ 07703 17 Y 0086 0086 NARMC N Y A * * *
TO 1912 A DENTAL USADC MILLS USADC MILLS FT. DIX US NJ 08640 17 Y 0081 0081 NARMC N Y A *Y *1124223235 *261QM1100X
FROM 1912 A DENTAL USADC MILLS USADC MILLS FT. DIX US NJ 08640 17 Y 0081 0081 NARMC N Y A * * *
TO 1914 A DENTAL USADC-1 USMA(POST) USADC-1 USMA(POST) WEST POINT US NY 10996 17 Y 0086 0086 NARMC N Y A *Y *1235334392 *261QM1100X
FROM 1914 A DENTAL USADC-1 USMA(POST) USADC-1 USMA(POST) WEST POINT US NY 10996 17 Y 0086 0086 NARMC N Y A * * *
TO 1916 A DENTAL USADC-3 USMA USADC-3 USMA WEST POINT US NY 10996 17 Y 0086 0086 NARMC N Y A *Y *1881899987 *261QM1100X
FROM 1916 A DENTAL USADC-3 USMA USADC-3 USMA WEST POINT US NY 10996 17 Y 0086 0086 NARMC N Y A * * *
TO 1917 A DENTAL USADC CARLISLE BARRACKS USADC CARLISLE BARRACKS CARLISLE BARRACKS US PA 17013 17 Y 0069 0069 NARMC N Y A *Y *1174728414 *261QM1100X
FROM 1917 A DENTAL USADC CARLISLE BARRACKS USADC CARLISLE BARRACKS CARLISLE BARRACKS US PA 17013 17 Y 0069 0069 NARMC N Y A * * *
TO 1918 A DENTAL USADC LOGAN USADC LOGAN FT. BELVOIR US VA 22060 17 Y 0123 0123 NARMC N Y A *Y *1558566216 *261QM1100X
FROM 1918 A DENTAL USADC LOGAN USADC LOGAN FT. BELVOIR US VA 22060 17 Y 0123 0123 NARMC N Y A * * *
TO 1951 A DENTAL USADC-7 FT. KNOX USADC-7 FT. KNOX FT. KNOX US KY 40121 17 Y 0061 0061 SERMC N Y A *Y *1225233547 *261QM1100X
FROM 1951 A DENTAL USADC-7 FT. KNOX USADC-7 FT. KNOX FT. KNOX US KY 40121 17 Y 0061 0061 SERMC N Y A * * *
TO 1952 A DENTAL USADC HARPER-FT. LEONARD WOOD USADC HARPER-FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A *Y *1700081700 *261QM1100X
FROM 1952 A DENTAL USADC HARPER-FT. LEONARD WOOD USADC HARPER-FT. LEONARD WOOD FT. LEONARD WOOD US MO 65473 19 Y 0075 0075 GPRMC N Y A * * *
TO 1956 A DENTAL DC-4(HOSPITAL) FT. BENNING DC-4 (HOSPITAL) FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A *Y *1063616266 *261QM1100X
FROM 1956 A DENTAL DC-4(HOSPITAL) FT. BENNING DC-4 (HOSPITAL) FT. BENNING US GA 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 1965 A DENTAL USADC BACH USADC BACH FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A *Y *1558566935 *261QM1100X
FROM 1965 A DENTAL USADC BACH USADC BACH FT. CAMPBELL US KY 42223 17 Y 0060 0060 SERMC N Y A * * *
TO 6025 W3ZS80 A DENTAL USADC CLARK HALL INPROCESS CTR USADC CLARK HALL INPROCESS CTR FT. DRUM US NY FT. DRUM 13602 17 Y 0330 0330 NARMC N Y A *Y *1811192594 *261QM1100X
FROM 6025 W3ZS80 A DENTAL USADC CLARK HALL INPROCESS CTR USADC CLARK HALL INPROCESS CTR FT. DRUM US NY FT. DRUM 13602 17 Y 0330 0330 NARMC N Y A * * *
TO 6026 W3ZU20 A DENTAL USADC FT. WAINWRIGHT USADC FT. WAINWRIGHT FT. WAINWRIGHT US AK 99703 19 Y 0005 0005 WRMC N Y A *Y *1871796615 *261QM1100X
FROM 6026 W3ZU20 A DENTAL USADC FT. WAINWRIGHT USADC FT. WAINWRIGHT FT. WAINWRIGHT US AK 99703 19 Y 0005 0005 WRMC N Y A * * *
TO 6027 W3ZU24 A DENTAL USADC FT. RICHARDSON USADC FT. RICHARDSON FT. RICHARDSON US AK 99505 19 Y 0005 0005 WRMC N Y A *Y *1831392679 *261QM1100X
FROM 6027 W3ZU24 A DENTAL USADC FT. RICHARDSON USADC FT. RICHARDSON FT. RICHARDSON US AK 99505 19 Y 0005 0005 WRMC N Y A * * *
TO 6028 A DENTAL USADC SHIRA DC-FT. POLK USADC SHIRA DC-FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A *Y *1619172905 *261QM1100X
FROM 6028 A DENTAL USADC SHIRA DC-FT. POLK USADC SHIRA DC-FT. POLK FT. POLK US LA 71459 18 Y 0064 0064 GPRMC N Y A * * *
TO 7115 A DENTAL USADC-RIVA RIDGE USADC-RIVA RIDGE FT. DRUM US NY FT. DRUM 13602 17 Y 0330 0330 NARMC N Y A *Y *1457556136 *261QM1100X
FROM 7115 A DENTAL USADC-RIVA RIDGE USADC-RIVA RIDGE FT. DRUM US NY FT. DRUM 13602 17 Y 0330 0330 NARMC N Y A * * *
TO 7135 A DENTAL BUDGE DENT. CLIN-FT. SAM HOUST BUDGE DENTAL CLINIC FT. SAM HOUSTON US TX 78234 18 Y 0109 0109 GPRMC N Y A *Y *1912102955 *261QM1100X
FROM 7135 A DENTAL BUDGE DENT. CLIN-FT. SAM HOUST BUDGE DENTAL CLINIC FT. SAM HOUSTON US TX 78234 18 Y 0109 0109 GPRMC N Y A * * *
TO 7136 A DENTAL USADC-RHOADES USADC RHOADES FT. SAM HOUSTON US TX 78234 18 Y 0109 0109 GPRMC N Y A *Y *1164627121 *261QM1100X
FROM 7136 A DENTAL USADC-RHOADES USADC RHOADES FT. SAM HOUSTON US TX 78234 18 Y 0109 0109 GPRMC N Y A * * *
TO 7147 A *INACT TMC-3-WRAMC TMC-3-WRAMC WALTER REED AMC US DC 20307 17 Y 0037 0037 NARMC N Y *I
FROM 7147 A *CLINIC TMC-3-WRAMC TMC-3-WRAMC WALTER REED AMC US DC 20307 17 Y 0037 0037 NARMC N Y *A
TO 7149 A *INACT TMC-9-WRAMC TMC-9-WRAMC WALTER REED AMC US DC 20307 17 Y 0037 0037 NARMC N Y *I
FROM 7149 A *CLINIC TMC-9-WRAMC TMC-9-WRAMC WALTER REED AMC US DC 20307 17 Y 0037 0037 NARMC N Y *A
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 3
11/23/2011
200708 DMIS ID Table Change Report
Army
Facility Facility US Authorized Branch of
Facility Facility Facility 5-Digit 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DCW MEPRS Unit Service Facility Country State ZIP ZIP Service Cod Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
DMIS ID ID ID Code Type Code DMIS Facility Name Facility Name Installation Name Code Code Facility City Name Code Code Region e ID ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 7202 W3U589 A DENTAL USADC LEIGHTON USADC LEIGHTON WUERZBURG GM WUERZBURG 09244 13 N 0609 0609 ERMC N Y A *Y *1033314778 *261QM1100X
FROM 7202 W3U589 A DENTAL USADC LEIGHTON USADC LEIGHTON WUERZBURG GM WUERZBURG 09244 13 N 0609 0609 ERMC N Y A * * *
TO 7203 W3U58N A DENTAL USADC VILSECK USADC VILSECK WUERZBURG GM WUERZBURG 09112 13 N 0609 0609 ERMC N Y A *Y *1760687412 *261QM1100X
FROM 7203 W3U58N A DENTAL USADC VILSECK USADC VILSECK WUERZBURG GM WUERZBURG 09112 13 N 0609 0609 ERMC N Y A * * *
TO 7205 W2MSAA A DENTAL USA DC WELCOME CENTER USA DC WELCOME CENTER FT. STEWART US GA FT. STEWART 31314 18 Y 0049 0049 SERMC N Y A *Y *1912101270 *261QM1100X
FROM 7205 W2MSAA A DENTAL USA DC WELCOME CENTER USA DC WELCOME CENTER FT. STEWART US GA FT. STEWART 31314 18 Y 0049 0049 SERMC N Y A * * *
TO 7206 W3U584 A DENTAL USADC THOMAS USADC THOMAS FT. KNOX US KY FORT KNOX 40121 17 Y 0061 0061 SERMC N Y A *Y *1134324452 *261QM1100X
FROM 7206 W3U584 A DENTAL USADC THOMAS USADC THOMAS FT. KNOX US KY FORT KNOX 40121 17 Y 0061 0061 SERMC N Y A * * *
TO 7207 W3U584 A DENTAL USADC SELFRIDGE USADC SELFRIDGE SELFRIDGE US MI SELFRIDGE 48045 17 Y 0061 0061 NARMC N Y A *Y *1043415367 *261QM1100X
FROM 7207 W3U584 A DENTAL USADC SELFRIDGE USADC SELFRIDGE SELFRIDGE US MI SELFRIDGE 48045 17 Y 0061 0061 NARMC N Y A * * *
TO 7241 W2MS03 A DENTAL FT WAINWRIGHT-KAMISH DENTAL KAMISH DENTAL CLINIC FT. WAINWRIGHT US AK FORT WAINWRIGHT 99703 19 Y 0005 0005 WRMC N Y A *Y *1730383886 *261QM1100X
FROM 7241 W2MS03 A DENTAL FT WAINWRIGHT-KAMISH DENTAL KAMISH DENTAL CLINIC FT. WAINWRIGHT US AK FORT WAINWRIGHT 99703 19 Y 0005 0005 WRMC N Y A * * *
TO 7290 W2U580 A DENTAL WAMC DENTAL CLINIC WAMC DENTAL CLINIC FT. BRAGG US NC FORT BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A *Y *1609071711 *261QM1100X
FROM 7290 W2U580 A DENTAL WAMC DENTAL CLINIC WAMC DENTAL CLINIC FT. BRAGG US NC FORT BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 7291 W2U580 A DENTAL JOEL DENTAL CLINIC JOEL DENTAL CLINIC FT. BRAGG US NC FORT BRAGG 28307 7302 17 Y 0089 0089 NARMC N Y A *Y *1427253541 *261QM1100X
FROM 7291 W2U580 A DENTAL JOEL DENTAL CLINIC JOEL DENTAL CLINIC FT. BRAGG US NC FORT BRAGG 28307 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 7302 A DENTAL USADC GARMISCH USADC GARMISCH GARMISCH GM GARMISCH 09053 13 N 0609 0609 ERMC N Y A *Y *1821293572 *261QM1100X
FROM 7302 A DENTAL USADC GARMISCH USADC GARMISCH GARMISCH GM GARMISCH 09053 13 N 0609 0609 ERMC N Y A * * *
TO 7308 A DENTAL USADC-ONE STOP CLINIC FT BRAGG USADC-ONE STOP CLINIC FT BRAGG FT. BRAGG US NC FT BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A *Y *1154526275 *261QM1100X
FROM 7308 A DENTAL USADC-ONE STOP CLINIC FT BRAGG USADC-ONE STOP CLINIC FT BRAGG FT. BRAGG US NC FT BRAGG 28310 7302 17 Y 0089 0089 NARMC N Y A * * *
TO 7310 A DENTAL USADC-CAMP SHELBY DEN CLIN #6 USADC-CAMP SHELBY DENTAL CLINIC #6 CAMP SHELBY US MS HATTIESBURG 39401 18 Y 0047 0047 SERMC N Y A *Y *1750584363 *261QM1100X
FROM 7310 A DENTAL USADC-CAMP SHELBY DEN CLIN #6 USADC-CAMP SHELBY DENTAL CLINIC #6 CAMP SHELBY US MS HATTIESBURG 39401 18 Y 0047 0047 SERMC N Y A * * *
TO 7311 W3ZR50 A DENTAL USADC-HOSP DEN CLIN (EVANS) USADC-HOSPITAL DENTAL CLINIC (EVANS) FT. CARSON US CO FORT CARSON 80913 19 Y 0032 0032 GPRMC N Y A *Y *1548464621 *261QM1100X
FROM 7311 W3ZR50 A DENTAL USADC-HOSP DEN CLIN (EVANS) USADC-HOSPITAL DENTAL CLINIC (EVANS) FT. CARSON US CO FORT CARSON 80913 19 Y 0032 0032 GPRMC N Y A * * *
TO 7312 W3ZS10 A DENTAL USADC-HOSP (WALTER REED HOSP) USADC-HOSPITAL DENTAL CLINIC (WRAMC) WALTER REED US DC WASHINGTON 20307 17 Y 0037 0037 NARMC N Y A *Y *1033312798 *261QM1100X
FROM 7312 W3ZS10 A DENTAL USADC-HOSP (WALTER REED HOSP) USADC-HOSPITAL DENTAL CLINIC (WRAMC) WALTER REED US DC WASHINGTON 20307 17 Y 0037 0037 NARMC N Y A * * *
TO 7313 W3ZS12 A DENTAL USADC-ANDREW RADER DC FT MYER USADC-ANDREW RADER DENTAL CLINIC FT MYER US VA FT MYER 22211 17 Y 0037 0037 NARMC N Y A *Y *1669675336 *261QM1100X
FROM 7313 W3ZS12 A DENTAL USADC-ANDREW RADER DC FT MYER USADC-ANDREW RADER DENTAL CLINIC FT MYER US VA FT MYER 22211 17 Y 0037 0037 NARMC N Y A * * *
TO 7314 W3ZS13 A DENTAL USADC-FT MCNAIR DENTAL CLINIC USADC-FT MCNAIR DENTAL CLINIC FT MCNAIR US DC FT MCNAIR 20319 17 Y 0037 0037 NARMC N Y A *Y *1154526812 *261QM1100X
FROM 7314 W3ZS13 A DENTAL USADC-FT MCNAIR DENTAL CLINIC USADC-FT MCNAIR DENTAL CLINIC FT MCNAIR US DC FT MCNAIR 20319 17 Y 0037 0037 NARMC N Y A * * *
TO 7315 A DENTAL USADC-RECEPTION STATION USADC-RECEPTION STATION FT. BENNING US GA FT BENNING 31905 18 Y 0048 0048 SERMC N Y A *Y *1972707172 *261QM1100X
FROM 7315 A DENTAL USADC-RECEPTION STATION USADC-RECEPTION STATION FT. BENNING US GA FT BENNING 31905 18 Y 0048 0048 SERMC N Y A * * *
TO 7317 A DENTAL USADC-HUNTER ARMY AIRFIELD USADC-HUNTER ARMY AIRFIELD DENTAL CLINIC HUNTER ARMY AIRFIELD US GA HUNTER ARMY AIRFIELD 31409 18 Y 0049 0049 SERMC N Y A *Y *1669676953 *261QM1100X
FROM 7317 A DENTAL USADC-HUNTER ARMY AIRFIELD USADC-HUNTER ARMY AIRFIELD DENTAL CLINIC HUNTER ARMY AIRFIELD US GA HUNTER ARMY AIRFIELD 31409 18 Y 0049 0049 SERMC N Y A * * *
TO 7318 A DENTAL USADC-IRELAND HOSPITAL DC USADC-HOSPITAL DENTAL CLINIC #4 (IRELAND) FT. KNOX US KY FT KNOX 40121 17 Y 0061 0061 NARMC N Y A *Y *1295930683 *261QM1100X
FROM 7318 A DENTAL USADC-IRELAND HOSPITAL DC USADC-HOSPITAL DENTAL CLINIC #4 (IRELAND) FT. KNOX US KY FT KNOX 40121 17 Y 0061 0061 NARMC N Y A * * *
TO 7319 A DENTAL USADC-FT DETRICK USADC-FT DETRICK DENTAL CLINIC FT DETRICK US MD FT DETRICK 21702 17 Y 0069 0069 NARMC N Y A *Y *1316142607 *261QM1100X
FROM 7319 A DENTAL USADC-FT DETRICK USADC-FT DETRICK DENTAL CLINIC FT DETRICK US MD FT DETRICK 21702 17 Y 0069 0069 NARMC N Y A * * *
TO 7320 A DENTAL USADC-HOSPITAL DENTAL USADC-HOSPITAL (GEN LEONARD WOOD) FT. LEONARD WOOD US MO FT LEONARD WOOD 65473 19 Y 0075 0075 GPRMC N Y A *Y *1063617272 *261QM1100X
FROM 7320 A DENTAL USADC-HOSPITAL DENTAL USADC-HOSPITAL (GEN LEONARD WOOD) FT. LEONARD WOOD US MO FT LEONARD WOOD 65473 19 Y 0075 0075 GPRMC N Y A * * *
TO 7323 A DENTAL USADC-HOSPITAL DC BAMC FT SAM USADC-ORAL SURGERY DENTAL FT. SAM HOUSTON US TX FT SAM HOUSTON 78234 18 Y 0109 0109 GPRMC N Y A *Y *1306041363 *261QM1100X
FROM 7323 A DENTAL USADC-HOSPITAL DC BAMC FT SAM USADC-ORAL SURGERY DENTAL FT. SAM HOUSTON US TX FT SAM HOUSTON 78234 18 Y 0109 0109 GPRMC N Y A * * *
TO 7330 A DENTAL USADC-HOSP LANDSTUHL GERMANY USADC-HOSPITAL DC LANDSTUHL LANDSTUHL GM LANDSTUHL 09180 13 N 0607 0607 ERMC N Y A *Y *1972708709 *261QM1100X
FROM 7330 A DENTAL USADC-HOSP LANDSTUHL GERMANY USADC-HOSPITAL DC LANDSTUHL LANDSTUHL GM LANDSTUHL 09180 13 N 0607 0607 ERMC N Y A * * *
TO 7334 A DENTAL USADC-6 FT. STEWART USADC-6 FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC N Y A *Y *1417151788 *261QM1100X
FROM 7334 A DENTAL USADC-6 FT. STEWART USADC-6 FT. STEWART FT. STEWART US GA 31314 18 Y 0049 0049 SERMC N Y A * * *
TO 8518 W3U4BU A *INACT ALLEGHENY DISTRICT VET FAC ALLEGHENY DVC CARLISLE BARRACKS (PA) CARLISLE BARRACKS US PA CARLISLE BARRACKS 17013 17 Y 0069 0069 N Y *I
FROM 8518 W3U4BU A *VETCL ALLEGHENY DISTRICT VET FAC ALLEGHENY DVC CARLISLE BARRACKS (PA) CARLISLE BARRACKS US PA CARLISLE BARRACKS 17013 17 Y 0069 0069 N Y *A
TO 8666 W3U4GL A *INACT MCALLEN MRE VETERINARY FACILIT MCALLEN MRE VET FACILITY (TX) FORT SAM HOUSTON US TX MCALLEN 78501 18 Y 0109 0109 N Y *I
FROM 8666 W3U4GL A *VETCL MCALLEN MRE VETERINARY FACILIT MCALLEN MRE VET FACILITY (TX) FORT SAM HOUSTON US TX MCALLEN 78501 18 Y 0109 0109 N Y *A
TO 8922 071A A DENTAL TORII STA DENT CLINC-CAMP ZAMA TORII STATION DENTAL CLINIC-OKINAWA CAMP ZAMA JA 14 N 0610 0610 PRMC N Y A *Y *1992900765 *261QM1100X
FROM 8922 071A A DENTAL TORII STA DENT CLINC-CAMP ZAMA TORII STATION DENTAL CLINIC-OKINAWA CAMP ZAMA JA 14 N 0610 0610 PRMC N Y A * * *
NEW 6030 W0EEAA A CLINIC COMBINED MEDICAL SVCS CLINIC COMBINED MEDICAL SVCS CLIN-FT. WAINWRIGHT FT. WAINWRIGHT US AK FT. WAINWRIGHT 99703 19 Y 0005 0005 WRMC N Y A
NEW 8763 W3U41W A VETCL OHIO VALLEY DISTRICT VET CMD OHIO VALLEY DVC-FT KNOX (KY) FORT KNOX US KY FORT KNOX 40121 17 Y 0061 N Y A
NEW 8764 A VETCL CINCINNATI MRE VETERINARY FACI CINCINNATI MRE VETERINARY FACI CINCINNATI US OH CINCINNATI 45242 17 Y 0061 N Y A
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 4
11/23/2011
200708 DMIS ID Table Change Report
Navy
Facility Facility Authorized Branch of
Facility Facility Facility Facility 5-Digit 4-Digit Health US DMIS MEPRS Service TRICARE Service/
MEPRS Service Type Country State ZIP ZIP Service Flag Parent Parent Area Facility Enrollment DHP Authority NPI 2 NPI 2 HIPAA
DMIS 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
TO 0026 66099 N66099 N CLINIC NACC PORT HUENEME NACC PORT HUENEME PORT HUENEME US CA PORT HUENEME 93043 19 Y 0024 0024 NAVMED_W Y Y N *Y *1578766598 261QM1100X
FROM 0026 66099 N66099 N CLINIC NACC PORT HUENEME NACC PORT HUENEME PORT HUENEME US CA PORT HUENEME 93043 19 Y 0024 0024 NAVMED_W Y Y N * * 261QM1100X
TO 0208 32585 N CLINIC BMC MCB CAMP PENDLETON BMC MCB CAMP PENDLETON CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N *Y *1972706992 *261QM1100X
FROM 0208 32585 N CLINIC BMC MCB CAMP PENDLETON BMC MCB CAMP PENDLETON CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 0209 35950 N CLINIC BMC BARSTOW BMC BARSTOW BARSTOW US CA BARSTOW 92311 19 Y 0024 0024 NAVMED_W Y Y N *Y *1790988723 *261QM1100X
FROM 0209 35950 N CLINIC BMC BARSTOW BMC BARSTOW BARSTOW US CA BARSTOW 92311 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 0210 32956 N CLINIC BMC EDSON RANGE ANNEX BMC EDSON RANGE ANNEX CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N *Y *1912100983 *261QM1100X
FROM 0210 32956 N CLINIC BMC EDSON RANGE ANNEX BMC EDSON RANGE ANNEX CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 0212 41425 N CLINIC NBHC NAVWPNCEN CHINA LAKE NBHC NAVWPNCEN CHINA LAKE CHINA LAKE US CA CHINA LAKE 93555 19 Y 0030 0030 NAVMED_W Y Y N *Y *1023212677 *261QM1100X
FROM 0212 41425 N CLINIC NBHC NAVWPNCEN CHINA LAKE NBHC NAVWPNCEN CHINA LAKE CHINA LAKE US CA CHINA LAKE 93555 19 Y 0030 0030 NAVMED_W Y Y N * * *
TO 0217 32602 N CLINIC NBHC NAS POINT MUGU NBHC NAS POINT MUGU POINT MUGU US CA POINT MUGU 93042 19 Y 0024 0024 NAVMED_W Y Y N *Y *1366645442 *261QM1100X
FROM 0217 32602 N CLINIC NBHC NAS POINT MUGU NBHC NAS POINT MUGU POINT MUGU US CA POINT MUGU 93042 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 0269 47198 N CLINIC BMC YUMA BMC YUMA YUMA US AZ YUMA 85369 19 Y 0024 0024 NAVMED_W Y Y N *Y *1508069527 *261QM1100X
FROM 0269 47198 N CLINIC BMC YUMA BMC YUMA YUMA US AZ YUMA 85369 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 0378 32529 N CLINIC NBHC LITTLE CREEK NBHC LITTLE CREEK NORFOLK US VA NORFOLK 23521 2731 17 Y 0124 0124 NAVMED_E Y Y N *Y *1558407734 *261QM1100X
FROM 0378 32529 N CLINIC NBHC LITTLE CREEK NBHC LITTLE CREEK NORFOLK US VA NORFOLK 23521 2731 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0380 32532 N CLINIC NBHC NSY NORFOLK NBHC NSY NORFOLK PORTSMOUTH US VA PORTSMOUTH 23709 5000 17 Y 0124 0124 NAVMED_E Y Y N *Y *1821135658 *261QM1100X
FROM 0380 32532 N CLINIC NBHC NSY NORFOLK NBHC NSY NORFOLK PORTSMOUTH US VA PORTSMOUTH 23709 5000 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0381 32533 N CLINIC NBHC YORKTOWN NBHC YORKTOWN YORKTOWN US VA YORKTOWN 23691 0090 17 Y 0124 0124 NAVMED_E Y Y N *Y *1881730265 *261QM1100X
FROM 0381 32533 N CLINIC NBHC YORKTOWN NBHC YORKTOWN YORKTOWN US VA YORKTOWN 23691 0090 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0382 46106 N CLINIC NBHC DAM NECK NBHC DAM NECK VIRGINIA BEACH US VA VIRGINIA BEACH 23461 2098 17 Y 0124 0124 NAVMED_E Y Y N *Y *1740326545 *261QM1100X
FROM 0382 46106 N CLINIC NBHC DAM NECK NBHC DAM NECK VIRGINIA BEACH US VA VIRGINIA BEACH 23461 2098 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0387 32528 N CLINIC NBHC OCEANA NBHC OCEANA VIRGINIA BEACH US VA VIRGINIA BEACH 23460 2188 17 Y 0124 0124 NAVMED_E Y Y N *Y *1629114004 *261QM1100X
FROM 0387 32528 N CLINIC NBHC OCEANA NBHC OCEANA VIRGINIA BEACH US VA VIRGINIA BEACH 23460 2188 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0398 32587 N CLINIC NBHC PUGET SOUND NBHC PUGET SOUND BREMERTON US WA BREMERTON 98314 19 Y 0126 0126 NAVMED_W Y Y N *Y *1457554776 *261QM1100X
FROM 0398 32587 N CLINIC NBHC PUGET SOUND NBHC PUGET SOUND BREMERTON US WA BREMERTON 98314 19 Y 0126 0126 NAVMED_W Y Y N * * *
TO 0415 43684 N CLINIC BMC BRIDGEPORT BMC BRIDGEPORT PICKLE MEADOWS US CA PICKLE MEADOWS 93517 19 Y 0024 0024 NAVMED_W N Y N *Y *1083817597 *261QM1100X
FROM 0415 43684 N CLINIC BMC BRIDGEPORT BMC BRIDGEPORT PICKLE MEADOWS US CA PICKLE MEADOWS 93517 19 Y 0024 0024 NAVMED_W N Y N * * *
TO 0508 32510 N CLINIC NBHC NAVSTA SEWELLS NBHC NAVSTA SEWELLS NORFOLK US VA NORFOLK 23511 2899 17 Y 0124 0124 NAVMED_E Y Y N *Y *1407992894 *261QM1100X
FROM 0508 32510 N CLINIC NBHC NAVSTA SEWELLS NBHC NAVSTA SEWELLS NORFOLK US VA NORFOLK 23511 2899 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 0519 32804 N CLINIC NBHC CHESAPEAKE NBHC CHESAPEAKE CHESAPEAKE US VA CHESAPEAKE 23322 2463 17 Y 0124 0124 NAVMED_E Y Y N *Y *1528104494 *261QM1100X
FROM 0519 32804 N CLINIC NBHC CHESAPEAKE NBHC CHESAPEAKE CHESAPEAKE US VA CHESAPEAKE 23322 2463 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 1656 45237 N CLINIC NBHC SUBASE BANGOR NBHC SUBASE BANGOR SILVERDALE US WA SILVERDALE 98315 19 Y 0126 0126 NAVMED_W Y Y N *Y *1932302262 *261QM1100X
FROM 1656 45237 N CLINIC NBHC SUBASE BANGOR NBHC SUBASE BANGOR SILVERDALE US WA SILVERDALE 98315 19 Y 0126 0126 NAVMED_W Y Y N * * *
TO 1657 46363 N CLINIC BMC CAMP DELMAR MCB BMC CAMP DELMAR MCB CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N *Y *1013110089 *261QM1100X
FROM 1657 46363 N CLINIC BMC CAMP DELMAR MCB BMC CAMP DELMAR MCB CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 1659 46365 N CLINIC BMC SAN ONOFRE MCB BMC SAN ONOFRE MCB CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N *Y *1114121449 *261QM1100X
FROM 1659 46365 N CLINIC BMC SAN ONOFRE MCB BMC SAN ONOFRE MCB CAMP PENDLETON US CA CAMP PENDLETON 92055 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 6214 3212A N CLINIC TRICARE OUTPATIENT CL VA BEACH TRICARE OUTPATIENT CLINIC VA BEACH NORFOLK US VA VIRGINIA BEACH 23456 1492 17 Y 0124 0124 NAVMED_E Y Y N *Y *1518003797 *261QM1100X
FROM 6214 3212A N CLINIC TRICARE OUTPATIENT CL VA BEACH TRICARE OUTPATIENT CLINIC VA BEACH NORFOLK US VA VIRGINIA BEACH 23456 1492 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 6216 3320A N CLINIC TRICARE OUTPATIENT-OCEANSIDE TRICARE OUTPATIENT-OCEANSIDE CAMP PENDLETON US CA CAMP PENDLETON 92056 19 Y 0024 0024 NAVMED_W Y Y N *Y *1124221395 *261QM1100X
FROM 6216 3320A N CLINIC TRICARE OUTPATIENT-OCEANSIDE TRICARE OUTPATIENT-OCEANSIDE CAMP PENDLETON US CA CAMP PENDLETON 92056 19 Y 0024 0024 NAVMED_W Y Y N * * *
TO 6221 3213A N CLINIC TRICARE OUTPATIENT CHESAPEAKE TRICARE OUTPATIENT CHESAPEAKE US VA CHESAPEAKE 23320 2768 17 Y 0124 0124 NAVMED_E Y Y N *Y *1861538258 *261QM1100X
FROM 6221 3213A N CLINIC TRICARE OUTPATIENT CHESAPEAKE TRICARE OUTPATIENT CHESAPEAKE US VA CHESAPEAKE 23320 2768 17 Y 0124 0124 NAVMED_E Y Y N * * *
TO 7138 47430 N CLINIC NHCL EVERETT NHCL EVERETT EVERETT US WA EVERETT 98207 19 Y 0126 0126 NAVMED_W Y Y N *Y *1316140858 *261QM1100X
FROM 7138 47430 N CLINIC NHCL EVERETT NHCL EVERETT EVERETT US WA EVERETT 98207 19 Y 0126 0126 NAVMED_W Y Y N * * *
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 5
11/23/2011
200708 DMIS ID Table Change Report
Air Force
Facility US Authorized Branch of
Facility Facility Facility Facility 5- 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DCW MEPRS Service Facility Country State Digit ZIP ZIP Service Cod 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 e ID ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 0203 0251 FFBBW0 F CLINIC 354th MED GRP-EIELSON 354th MEDICAL GROUP EIELSON AFB US AK EIELSON AFB 99702 19 Y 0203 0203 PACAF Y Y F Y *1902867229 261QM1100X
FROM 0203 0251 FFBBW0 F CLINIC 354th MED GRP-EIELSON 354th MEDICAL GROUP EIELSON AFB US AK EIELSON AFB 99702 19 Y 0203 0203 PACAF Y Y F Y *1902867299 261QM1100X
TO 7269 F DENTAL 21 DS/SGD-PETERSON 21 DS/SGD PETERSON AFB US CO COLORADO SPRINGS 80914 19 Y *0252 *0252 AFSPC N Y F
FROM 7269 F DENTAL 21 DS/SGD-PETERSON 21 DS/SGD PETERSON AFB US CO COLORADO SPRINGS 80914 19 Y *0033 *0033 AFSPC N Y F
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 6
11/23/2011
200708 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/
MEPRS Service Facility Country State ZIP ZIP Service Flag Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 NPI 2 HIPAA
DMIS ID DCW 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 Number Taxonomy
NO CHANGES
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 7
11/23/2011