201103 DMIS ID Table Change Report
Army
Authorized Branch of
Facility Facility Facility Facility 5- Facility 4- Health US Service Facility TRICARE Service/
DMIS MEPRS Unit Service Facility Country State Digit ZIP Digit ZIP Service Flag DMIS 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 Parent ID Parent ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 0109 1401 W2DNAA A HOSP BROOKE AMC-FT. SAM HOUSTON BROOKE AMC *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX FT. SAM HOUSTON 78234 18 Y 0109 0109 6006 SRMC Y Y A Y 1538251764 2865M2000X
FROM 0109 1401 W2DNAA A HOSP BROOKE AMC-FT. SAM HOUSTON BROOKE AMC *FT. SAM HOUSTON US TX FT. SAM HOUSTON 78234 18 Y 0109 0109 6006 SRMC Y Y A Y 1538251764 2865M2000X
TO 0121 1061 W2K1AA A CLINIC MCDONALD AHC-FT. EUSTIS MCDONALD ARMY HEALTH CENTER *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 6011 NRMC Y Y A Y 1922199066 261QM1101X
FROM 0121 1061 W2K1AA A CLINIC MCDONALD AHC-FT. EUSTIS MCDONALD ARMY HEALTH CENTER *FT. EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 6011 NRMC Y Y A Y 1922199066 261QM1101X
TO 0125 1701 W0Q1AA A HOSP MADIGAN AMC-FT. LEWIS MADIGAN AMC *JOINT (AF) BASE LEWIS-MCCHORD US WA FT. LEWIS 98431 19 Y 0125 0125 WRMC Y Y A Y 1841390077 2865M2000X
FROM 0125 1701 W0Q1AA A HOSP MADIGAN AMC-FT. LEWIS MADIGAN AMC *FT. LEWIS US WA FT. LEWIS 98431 19 Y 0125 0125 WRMC Y Y A Y 1841390077 2865M2000X
TO 0204 011N W0EE04 A CLINIC TMC FT. RICHARDSON TMC FT. RICHARDSON *JOINT (AF) BSE ELMENDORF-RICHARDSON US AK FT. RICHARDSON 99505 19 Y 0005 0005 WRMC Y Y A Y 1164635728 261QM1100X
FROM 0204 011N W0EE04 A CLINIC TMC FT. RICHARDSON TMC FT. RICHARDSON *FT. RICHARDSON US AK FT. RICHARDSON 99505 19 Y 0005 0005 WRMC Y Y A Y 1164635728 261QM1100X
TO 0255 100B W2DH31 A CLINIC MCNAIR AHC MYER-HENDERSON HALL MCNAIR AHC *JOINT (AN) BASE MYER-HENDERSON HALL US DC WASHINGTON 20319 5066 17 Y 0069 0069 NRMC N Y A Y 1689888455 261QM1100X
FROM 0255 100B W2DH31 A CLINIC MCNAIR AHC MYER-HENDERSON HALL MCNAIR AHC *JOINT BASE MYER-HENDERSON HALL US DC WASHINGTON 20319 5066 17 Y 0069 0069 NRMC N Y A Y 1689888455 261QM1100X
TO 0390 100P W2DH28 A CLINIC ANDREW RADER AHC MYER-HENDERSN ANDREW RADER AHC *JOINT (AN) BASE MYER-HENDERSON HALL US VA FORT MYER 22211 1219 17 Y 0069 0069 NRMC Y Y A Y 1467665877 261QM1100X
FROM 0390 100P W2DH28 A CLINIC ANDREW RADER AHC MYER-HENDERSN ANDREW RADER AHC *JOINT BASE MYER-HENDERSON HALL US VA FORT MYER 22211 1219 17 Y 0069 0069 NRMC Y Y A Y 1467665877 261QM1100X
TO 0464 106O W2K111 A CLINIC AHC FT. STORY AHC FT. STORY *JOINT (AN) EB LITTLE CREEK-FT STORY US VA FORT STORY 23459 17 Y 0121 0121 NRMC Y Y A Y 1124232467 261QM1100X
FROM 0464 106O W2K111 A CLINIC AHC FT. STORY AHC FT. STORY *JEB LITTLE CREEK-FORT STORY US VA FORT STORY 23459 17 Y 0121 0121 NRMC Y Y A Y 1124232467 261QM1100X
TO 0553 106A A CLINIC TMC-1-FT. EUSTIS TMC-1-FT. EUSTIS *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC Y Y A Y 1528295318 261QM1100X
FROM 0553 106A A CLINIC TMC-1-FT. EUSTIS TMC-1-FT. EUSTIS *FT. EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC Y Y A Y 1528295318 261QM1100X
TO 0554 106B A CLINIC TMC-2-FT. EUSTIS TMC-2-FT. EUSTIS *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC Y Y A Y 1528295615 261QM1100X
FROM 0554 106B A CLINIC TMC-2-FT. EUSTIS TMC-2-FT. EUSTIS *FT. EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC Y Y A Y 1528295615 261QM1100X
TO 1114 A *INACT USADC CAMP LONG USADC CAMP LONG WONJU KS 96297 14 N 0612 0612 PRMC N Y *I Y 1053517144 261QM1100X
FROM 1114 A *DENTAL USADC CAMP LONG USADC CAMP LONG WONJU KS 96297 14 N 0612 0612 PRMC N Y *A Y 1053517144 261QM1100X
TO 1252 A DENTAL USADC FT. STORY USADC FT. STORY *JOINT (AN) EB LITTLE CREEK-FT STORY US VA FORT STORY 23459 17 Y 0121 0121 NRMC N Y A Y 1053517433 261QM1100X
FROM 1252 A DENTAL USADC FT. STORY USADC FT. STORY *JEB LITTLE CREEK-FORT STORY US VA FORT STORY 23459 17 Y 0121 0121 NRMC N Y A Y 1053517433 261QM1100X
TO 1480 WOQ1AA A CLINIC OMAMC-FT. LEWIS OLD MADIGAN AMC-FT. LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98431 1100 19 Y 0125 0125 WRMC N Y A Y 1306051115 261QM1100X
FROM 1480 WOQ1AA A CLINIC OMAMC-FT. LEWIS OLD MADIGAN AMC-FT. LEWIS *FT. LEWIS US WA TACOMA 98431 1100 19 Y 0125 0125 WRMC N Y A Y 1306051115 261QM1100X
TO 1484 W3ZU31 A DENTAL MCCHORD DENTAL CLINIC MCCHORD DENTAL CLINIC *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98438 19 Y 0125 0125 WRMC N Y A Y 1588812481 261QM1100X
FROM 1484 W3ZU31 A DENTAL MCCHORD DENTAL CLINIC MCCHORD DENTAL CLINIC *MCCHORD AFB US WA TACOMA 98438 19 Y 0125 0125 WRMC N Y A Y 1588812481 261QM1100X
TO 1485 W0Q168 A CLINIC US ARMY HEALTH CLN-MCCHORD AFB US ARMY HEALTH CLINIC-MCCHORD AFB *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98438 19 Y 0125 0125 WRMC Y Y A Y 1609023274 261QM1100X
FROM 1485 W0Q168 A CLINIC US ARMY HEALTH CLN-MCCHORD AFB US ARMY HEALTH CLINIC-MCCHORD AFB *MCCHORD AFB US WA TACOMA 98438 19 Y 0125 0125 WRMC Y Y A Y 1609023274 261QM1100X
TO 1646 170A W0Q1AA A CLINIC NISQUALLY FAM MED CL-FT. LEWIS NISQUALLY FAMILY MEDICINE CLINIC-FT. LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA FT. LEWIS 98433 19 Y 0125 0125 WRMC Y Y A Y 1861607673 261QM1100X
FROM 1646 170A W0Q1AA A CLINIC NISQUALLY FAM MED CL-FT. LEWIS NISQUALLY FAMILY MEDICINE CLINIC-FT. LEWIS *FT. LEWIS US WA FT. LEWIS 98433 19 Y 0125 0125 WRMC Y Y A Y 1861607673 261QM1100X
TO 1649 170D W0Q113 A CLINIC OKUBO FAM PRACT CLIN-FT LEWIS OKUBO FAMILY PRACTICE CLINIC-FT LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA FT. LEWIS 98433 19 Y 0125 0125 WRMC Y Y A Y 1992910806 261QM1100X
FROM 1649 170D W0Q113 A CLINIC OKUBO FAM PRACT CLIN-FT LEWIS OKUBO FAMILY PRACTICE CLINIC-FT LEWIS *FT. LEWIS US WA FT. LEWIS 98433 19 Y 0125 0125 WRMC Y Y A Y 1992910806 261QM1100X
TO 1817 A DENTAL USADC-2 FT. LEWIS USADC-2 FT. LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1992902571 261QM1100X
FROM 1817 A DENTAL USADC-2 FT. LEWIS USADC-2 FT. LEWIS *FT. LEWIS US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1992902571 261QM1100X
TO 1818 A DENTAL USADC-3 FT. LEWIS USADC-3 FT. LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1992901243 261QM1100X
FROM 1818 A DENTAL USADC-3 FT. LEWIS USADC-3 FT. LEWIS *FT. LEWIS US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1992901243 261QM1100X
TO 1900 A DENTAL USADC TIGNOR USADC TIGNOR *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A Y 1508062779 261QM1100X
FROM 1900 A DENTAL USADC TIGNOR USADC TIGNOR *FT. EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A Y 1508062779 261QM1100X
TO 1912 A DENTAL USADC MILLS USADC MILLS *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC N Y A Y 1124223235 261QM1100X
FROM 1912 A DENTAL USADC MILLS USADC MILLS *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC N Y A Y 1124223235 261QM1100X
TO 1948 A DENTAL USADC-1 FULTON USADC-1 FULTON *JOINT (AF) BASE LEWIS-MCCHORD US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1497952667 261QM1100X
FROM 1948 A DENTAL USADC-1 FULTON USADC-1 FULTON *FT. LEWIS US WA 98431 19 Y 0125 0125 WRMC N Y A Y 1497952667 261QM1100X
TO 5279 A CLINIC CBHCO-VIRGINIA COMMUNITY BASED HLTHCARE ORG-VIRGINIA *JOINT (AF) BASE LANGLEY-EUSTIS US VA FT. EUSTIS 23604 17 Y 5268 N Y A
FROM 5279 A CLINIC CBHCO-VIRGINIA COMMUNITY BASED HLTHCARE ORG-VIRGINIA *FT. EUSTIS US VA FT. EUSTIS 23604 17 Y 5268 N Y A
TO 6027 W3ZU24 A DENTAL USADC FT. RICHARDSON USADC FT. RICHARDSON *JOINT (AF) BSE ELMENDORF-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 Y 1831392679 261QM1100X
TO 6116 A CLINIC MADIGAN-PUYALLUP MEDICAL HOME MADIGAN-PUYALLUP MEDICAL HOME *JOINT (AF) BASE LEWIS-MCCHORD US WA PUYALLUP 98375 19 Y 0125 0125 WRMC Y Y A Y 1851605356 261QM1100X
FROM 6116 A CLINIC MADIGAN-PUYALLUP MEDICAL HOME MADIGAN-PUYALLUP MEDICAL HOME *JOINT BASE LEWIS-MCCHORD US WA PUYALLUP 98375 19 Y 0125 0125 WRMC Y Y A Y 1851605356 261QM1100X
TO 6117 A CLINIC MADIGAN-LACEY MEDICAL HOME MADIGAN-LACEY MEDICAL HOME *JOINT (AF) BASE LEWIS-MCCHORD US WA LACEY 98503 19 Y 0125 0125 WRMC Y Y A Y 1881907822 261QM1100X
FROM 6117 A CLINIC MADIGAN-LACEY MEDICAL HOME MADIGAN-LACEY MEDICAL HOME *JOINT BASE LEWIS-MCCHORD US WA LACEY 98503 19 Y 0125 0125 WRMC Y Y A Y 1881907822 261QM1100X
TO 6119 A CLINIC SCHERTZ MEDICAL HOME SCHERTZ MEDICAL HOME *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SCHERTZ 78154 6200 18 Y 0109 0109 SRMC Y Y A Y 1265745293 261QM1100X
FROM 6119 A CLINIC SCHERTZ MEDICAL HOME SCHERTZ MEDICAL HOME *FT. SAM HOUSTON US TX SCHERTZ 78154 6200 18 Y 0109 0109 SRMC Y Y A Y 1265745293 261QM1100X
TO 7135 A DENTAL BUDGE DENT. CLIN-FT. SAM HOUST BUDGE DENTAL CLINIC *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A Y 1912102955 261QM1100X
FROM 7135 A DENTAL BUDGE DENT. CLIN-FT. SAM HOUST BUDGE DENTAL CLINIC *FT. SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A Y 1912102955 261QM1100X
TO 7136 A DENTAL USADC-RHOADES USADC RHOADES *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A Y 1164627121 261QM1100X
FROM 7136 A DENTAL USADC-RHOADES USADC RHOADES *FT. SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A Y 1164627121 261QM1100X
TO 7154 111Q W2H817 A CLINIC MILLS TROOP CLINIC-FT. DIX MILLS TROOP CLINIC-FT. DIX *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC Y Y A Y 1275747149 261QM1100X
FROM 7154 111Q W2H817 A CLINIC MILLS TROOP CLINIC-FT. DIX MILLS TROOP CLINIC-FT. DIX *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC Y Y A Y 1275747149 261QM1100X
TO 7285 W03SAA A CLINIC US ARMY INST. OF SURG RESEARCH US ARMY INST OF SURG RSRCH-FT. SAM HOUSTON *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX FORT SAM HOUSTON78234 18 Y 0109 0109 SRMC N Y A Y 1659529857 261QM1101X
FROM 7285 W03SAA A CLINIC US ARMY INST. OF SURG RESEARCH US ARMY INST OF SURG RSRCH-FT. SAM HOUSTON *FT. SAM HOUSTON US TX FORT SAM HOUSTON78234 18 Y 0109 0109 SRMC N Y A Y 1659529857 261QM1101X
TO 7313 W3ZS12 A DENTAL USADC-ANDREW RADER DC FT MYER USADC-ANDREW RADER DENTAL CLINIC *JOINT (AN) BASE MYER-HENDERSON HALL US VA FT MYER 22211 17 Y 0037 0037 NRMC 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 NRMC N Y A Y 1669675336 261QM1100X
TO 7323 A DENTAL USADC-HOSPITAL DC BAMC FT SAM USADC-ORAL SURGERY DENTAL *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX FT SAM HOUSTON 78234 18 Y 0109 0109 SRMC 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 SRMC N Y A Y 1306041363 261QM1100X
TO 7324 A DENTAL USADC-HOSPITAL DC FT EUSTIS USADC-HOSPITAL DENTAL CLINIC FT EUSTIS *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A Y 1659577534 261QM1100X
FROM 7324 A DENTAL USADC-HOSPITAL DC FT EUSTIS USADC-HOSPITAL DENTAL CLINIC FT EUSTIS *FT. EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A Y 1659577534 261QM1100X
TO 7326 A DENTAL USADC-CDI FT LEWIS USADC-CDI FT LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1801092077 261QM1100X
FROM 7326 A DENTAL USADC-CDI FT LEWIS USADC-CDI FT LEWIS *FT. LEWIS US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1801092077 261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 1
12/2/2011
201103 DMIS ID Table Change Report
Army
Authorized Branch of
Facility Facility Facility Facility 5- Facility 4- Health US Service Facility TRICARE Service/
DMIS MEPRS Unit Service Facility Country State Digit ZIP Digit ZIP Service Flag DMIS 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 Parent ID Parent ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 7327 A DENTAL USADC-HOSPITAL USADC-HOSPITAL DENTAL CLINIC *JOINT (AF) BASE LEWIS-MCCHORD US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1881890135 261QM1100X
FROM 7327 A DENTAL USADC-HOSPITAL USADC-HOSPITAL DENTAL CLINIC *FT. LEWIS US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1881890135 261QM1100X
TO 7333 W3UZ10 A DENTAL USADC OKUBO FT. LEWIS USADC OKUBO FT. LEWIS *JOINT (AF) BASE LEWIS-MCCHORD US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1255537346 261QM1100X
FROM 7333 W3UZ10 A DENTAL USADC OKUBO FT. LEWIS USADC OKUBO FT. LEWIS *FT. LEWIS US WA FT LEWIS 98431 19 Y 0125 0125 WRMC N Y A Y 1255537346 261QM1100X
TO 8506 W3U4BO A VETCL ANDREWS VETERINARY FACILITY ANDREWS VET FACILITY (DC) *JOINT (AN) BASE MYER-HENDERSON HALL US VA FORT MYER 22211 17 Y 0123 0123 NRMC N Y A
FROM 8506 W3U4BO A VETCL ANDREWS VETERINARY FACILITY ANDREWS VET FACILITY (DC) *FT MYER US VA FORT MYER 22211 17 Y 0123 0123 NRMC N Y A
TO 8509 W3U4BE A VETCL FT MYER VETERINARY FACILITY FT MYER VET FACILIT (VA) *JOINT (AN) BASE MYER-HENDERSON HALL US VA FORT MYER 22211 17 Y 0123 0123 NRMC N Y A
FROM 8509 W3U4BE A VETCL FT MYER VETERINARY FACILITY FT MYER VET FACILIT (VA) *FT MYER US VA FORT MYER 22211 17 Y 0123 0123 NRMC N Y A
TO 8551 W3U42X A VETCL MCGUIRE/DIX VETERINARY FACILIT MCGUIRE/DIX VET FACILITY (NJ) *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC N Y A
FROM 8551 W3U42X A VETCL MCGUIRE/DIX VETERINARY FACILIT MCGUIRE/DIX VET FACILITY (NJ) *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ FORT DIX 08640 17 Y 0086 0086 NRMC N Y A
TO 8552 W3U42Y A VETCL LAKEHURST NVL STATN FI VET FAC LAKEHURST NAVAL STATION VET FACILITY (NJ) *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ LAKEHURST 08733 17 Y 0086 0086 NRMC N Y A
FROM 8552 W3U42Y A VETCL LAKEHURST NVL STATN FI VET FAC LAKEHURST NAVAL STATION VET FACILITY (NJ) *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ LAKEHURST 08733 17 Y 0086 0086 NRMC N Y A
TO 8557 W3U43W A VETCL MID-ATLANTIC DISTRICT VET CMD MID-ATLANTIC DVC-FT EUSTIS (VA) *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
FROM 8557 W3U43W A VETCL MID-ATLANTIC DISTRICT VET CMD MID-ATLANTIC DVC-FT EUSTIS (VA) *FT EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
TO 8560 W3U43W A VETCL FT EUSTIS FI VETERINARY FACILI FT EUSTIS VET FACILITY (VA) *JOINT (AF) BASE LANGLEY-EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
FROM 8560 W3U43W A VETCL FT EUSTIS FI VETERINARY FACILI FT EUSTIS VET FACILITY (VA) *FT EUSTIS US VA FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
TO 8562 W3U49W A VETCL LANGLEY AFB VETERINARY FACILIT LANGLEY AFB VET FACILITY (VA) *JOINT (AF) BASE LANGLEY-EUSTIS US VA HAMPTON 23665 17 Y 0121 0121 NRMC N Y A
FROM 8562 W3U49W A VETCL LANGLEY AFB VETERINARY FACILIT LANGLEY AFB VET FACILITY (VA) *LANGLEY AFB US VA HAMPTON 23665 17 Y 0121 0121 NRMC N Y A
TO 8565 W3U44F A INACT LITTLE CREEK FI VETERINARY FAC LITTL CREEK VET FACILITY (VA) *JOINT (AN) EB LITTLE CREEK-FT STORY US VA NORFOLK 23521 17 Y 0121 0121 NRMC N Y I
FROM 8565 W3U44F A INACT LITTLE CREEK FI VETERINARY FAC LITTL CREEK VET FACILITY (VA) *JEB LITTLE CREEK-FORT STORY US VA NORFOLK 23521 17 Y 0121 0121 NRMC N Y I
TO 8567 W3U44F A VETCL FT STORY FI VETERINARY FACILIT FT STORY VET FACILITY (VA) *JOINT (AN) EB LITTLE CREEK-FT STORY US VA FORT STORY 23459 5004 17 Y 0121 0121 NRMC N Y A
FROM 8567 W3U44F A VETCL FT STORY FI VETERINARY FACILIT FT STORY VET FACILITY (VA) *JEB LITTLE CREEK-FORT STORY US VA FORT STORY 23459 5004 17 Y 0121 0121 NRMC N Y A
TO 8576 W3U438 A VETCL WESTERN REGIONAL VET CMD MAMC (WA) WRVC HQ *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98433 19 Y 0125 0125 WRMC N Y A
FROM 8576 W3U438 A VETCL WESTERN REGIONAL VET CMD MAMC (WA) WRVC HQ *FT LEWIS US WA TACOMA 98433 19 Y 0125 0125 WRMC N Y A
TO 8588 W3U438 A VETCL PNW DISTRICT VET CMD PACIFIC NW DVC FT LEWIS (WA)-PNDVC HQ *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98433 19 Y 0125 0125 WRMC N Y A
FROM 8588 W3U438 A VETCL PNW DISTRICT VET CMD PACIFIC NW DVC FT LEWIS (WA)-PNDVC HQ *FT LEWIS US WA TACOMA 98433 19 Y 0125 0125 WRMC N Y A
TO 8594 W3U465 A VETCL RANIER VETERINARY FACILITY RANIER VET FACILITY (WA) *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98438 19 Y 0125 0125 WRMC N Y A
FROM 8594 W3U465 A VETCL RANIER VETERINARY FACILITY RANIER VET FACILITY (WA) *MCCHORD AFB US WA TACOMA 98438 19 Y 0125 0125 WRMC N Y A
TO 8595 W3U465 A VETCL MCCHORD VETERINARY FACILITY MCCHORD VET FACILITY (WA) *JOINT (AF) BASE LEWIS-MCCHORD US WA ALGONA 98001 19 Y 0125 0125 WRMC N Y A
FROM 8595 W3U465 A VETCL MCCHORD VETERINARY FACILITY MCCHORD VET FACILITY (WA) *MCCHORD AFB US WA ALGONA 98001 19 Y 0125 0125 WRMC N Y A
TO 8602 W3U479 A VETCL FT RICHARDSON VETERINARY FACIL FT RICHARDSON VET FACILITY (AK) *JOINT (AF) BSE ELMENDORF-RICHARDSON US AK FT RICHARDSON 99505 19 Y 0005 0005 WRMC N Y A
FROM 8602 W3U479 A VETCL FT RICHARDSON VETERINARY FACIL FT RICHARDSON VET FACILITY (AK) *FT RICHARDSON US AK FT RICHARDSON 99505 19 Y 0005 0005 WRMC N Y A
TO 8630 W3U4A2 A VETCL HICKAM AFB VETERINARY FACILITY HICKAM AFB VET FACILITY (HI) *JOINT (NF) BASE PEARL HARBOR-HICKAM US HI HICKAM AFB 96853 19 Y 0052 0052 PRMC N Y A
FROM 8630 W3U4A2 A VETCL HICKAM AFB VETERINARY FACILITY HICKAM AFB VET FACILITY (HI) *HICKAM AFB US HI HICKAM AFB 96853 19 Y 0052 0052 PRMC N Y A
TO 8631 W3U4A2 A VETCL PEARL HARBOR COMMISSARY VET FA PEARL HARBOR VET FACILITY *JOINT (NF) BASE PEARL HARBOR-HICKAM US HI PEARL HARBOR 96860 19 Y 0052 0052 PRMC N Y A
FROM 8631 W3U4A2 A VETCL PEARL HARBOR COMMISSARY VET FA PEARL HARBOR VET FACILITY *PEARL HARBOR US HI PEARL HARBOR 96860 19 Y 0052 0052 PRMC N Y A
TO 8635 W3U4AP A VETCL WESPAC DISTRICT VET CMD WESPAC DVC GUAM-WPDVC HQ *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8635 W3U4AP A VETCL WESPAC DISTRICT VET CMD WESPAC DVC GUAM-WPDVC HQ *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8636 W3U4AP A VETCL GUAM NAVAL SUPPORT VET FACILIT GUAM NAVAL SUPPORT VET FACILITY *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8636 W3U4AP A VETCL GUAM NAVAL SUPPORT VET FACILIT GUAM NAVAL SUPPORT VET FACILITY *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8637 W3U4AP A VETCL SPICA SHIPRIDER VET FACILITY SHIPRIDER (SPICA) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8637 W3U4AP A VETCL SPICA SHIPRIDER VET FACILITY SHIPRIDER (SPICA) *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8638 W3U4AP A VETCL SAN JOSE SHIPRIDER VET FACILIT SHIPRIDER (SAN JOSE) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8638 W3U4AP A VETCL SAN JOSE SHIPRIDER VET FACILIT SHIPRIDER (SAN JOSE) *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8639 W3U4AP A VETCL NIAGRA FALLS SHIPRIDER VET FAC SHIPRIDER (NIAG FALLS) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8639 W3U4AP A VETCL NIAGRA FALLS SHIPRIDER VET FAC SHIPRIDER (NIAG FALLS) *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8640 W3U4AP A VETCL OROTE COMMISSARY VET FACILITY OROTE CMSY SEC *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8640 W3U4AP A VETCL OROTE COMMISSARY VET FACILITY OROTE CMSY SEC *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8641 W3U4AP A VETCL BOLLER VETERINARY FACILITY BOLLER VET FACILITY *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
FROM 8641 W3U4AP A VETCL BOLLER VETERINARY FACILITY BOLLER VET FACILITY *AGANA GQ GU AGANA 96540 1197 14 Y 0052 0052 PRMC N Y A
TO 8642 W3U4AP A VETCL ANDERSEN AFB VETERINARY FACILI ANDERSEN AFB VET FACILITY (GUAM) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU TAMUNING 96368 14 Y 0052 0052 PRMC N Y A
FROM 8642 W3U4AP A VETCL ANDERSEN AFB VETERINARY FACILI ANDERSEN AFB VET FACILITY (GUAM) *ANDERSEN AFB GQ GU TAMUNING 96368 14 Y 0052 0052 PRMC N Y A
TO 8643 W3U4AX A VETCL SINGAPORE VETERINARY FACILITY SINGAPORE VET FACILITY (SING) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN SN SINGAPORE 96534 2100 14 N 0052 0052 PRMC N Y A
FROM 8643 W3U4AX A VETCL SINGAPORE VETERINARY FACILITY SINGAPORE VET FACILITY (SING) *GUAM SN SINGAPORE 96534 2100 14 N 0052 0052 PRMC N Y A
TO 8644 W3U4CO A VETCL NEW ZEALAND VETERINARY FACILIT NEW ZEALAND VET FACILITY (NEW ZEALAND) *JOINT (NF) RGN MARIANAS GUAM-ANDRSN NZ CHRISTCHURCH 96531 2000 14 N 0052 0052 PRMC N Y A
FROM 8644 W3U4CO A VETCL NEW ZEALAND VETERINARY FACILIT NEW ZEALAND VET FACILITY (NEW ZEALAND) *GUAM NZ CHRISTCHURCH 96531 2000 14 N 0052 0052 PRMC N Y A
TO 8658 W3U4GA A VETCL GREAT PLAINS REGIONAL VET CMD BAMC-GPRVC *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
FROM 8658 W3U4GA A VETCL GREAT PLAINS REGIONAL VET CMD BAMC-GPRVC *FORT SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
TO 8659 W3U4GA A VETCL SOUTH TEXAS DISTRICT VET CMD FT SAM HOUSTON-ST DVC *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
FROM 8659 W3U4GA A VETCL SOUTH TEXAS DISTRICT VET CMD FT SAM HOUSTON-ST DVC *FORT SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
TO 8660 W3U4GA A VETCL FT SAM HOUSTON VETERINARY FACI FT SAM HOUSTON VET FACILITY (TX) *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
FROM 8660 W3U4GA A VETCL FT SAM HOUSTON VETERINARY FACI FT SAM HOUSTON VET FACILITY (TX) *FORT SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
TO 8662 W3U4GA A VETCL RANDOLPH AFB VETERINARY FACILI RANDOLPH VET FACILITY *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX UNIVERSAL CITY 78150 18 Y 0109 0109 SRMC N Y A
FROM 8662 W3U4GA A VETCL RANDOLPH AFB VETERINARY FACILI RANDOLPH VET FACILITY *RANDOLPH AFB US TX UNIVERSAL CITY 78150 18 Y 0109 0109 SRMC N Y A
TO 8663 W3U4GA A VETCL LACKLAND AFB VETERINARY FACILI LACKLAND VET FACILITY *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0109 0109 SRMC N Y A
FROM 8663 W3U4GA A VETCL LACKLAND AFB VETERINARY FACILI LACKLAND VET FACILITY *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0109 0109 SRMC N Y A
TO 8672 W3U4GA A VETCL DOD VETERINARY FACILITY DOD VETERINARY LABORATORY-FSHTX *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
FROM 8672 W3U4GA A VETCL DOD VETERINARY FACILITY DOD VETERINARY LABORATORY-FSHTX *FORT SAM HOUSTON US TX SAN ANTONIO 78234 18 Y 0109 0109 SRMC N Y A
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 2
12/2/2011
201103 DMIS ID Table Change Report
Army
Authorized Branch of
Facility Facility Facility Facility 5- Facility 4- Health US Service Facility TRICARE Service/
DMIS MEPRS Unit Service Facility Country State Digit ZIP Digit ZIP Service Flag DMIS 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 Parent ID Parent ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 8673 W3U4GA A VETCL DOD MILITARY WORKING DOG CENTE DOD MILITARY WORKING DOG CENTER-LAFBTX *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0109 0109 SRMC N Y A
FROM 8673 W3U4GA A VETCL DOD MILITARY WORKING DOG CENTE DOD MILITARY WORKING DOG CENTER-LAFBTX *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0109 0109 SRMC N Y A
TO 8736 W3U48K A VETCL CHARLESTON AFB VETERINARY FACI CHARLESTON VET FACILITY (SC) *JOINT (NF) CHARLESTON (NAV WPNSTA) US SC CHARLESTON 29404 18 Y 0060 0060 SRMC N Y A
FROM 8736 W3U48K A VETCL CHARLESTON AFB VETERINARY FACI CHARLESTON VET FACILITY (SC) *CHARLESTON AFB US SC CHARLESTON 29404 18 Y 0060 0060 SRMC N Y A
TO 8917 061O WH3S9C A *INACT USAHC-CAMP LONG USAHC-CAMP LONG WONGJU KS WONGJU 96297 14 N 0612 0612 PRMC *N Y *I Y 1659587418 261QM1100X
FROM 8917 061O WH3S9C A *CLINIC USAHC-CAMP LONG USAHC-CAMP LONG WONGJU KS WONGJU 96297 14 N 0612 0612 PRMC *Y Y *A Y 1659587418 261QM1100X
NEW 1331 W3ZT30 A DENTAL HARMONY CHURCH DENTAL CLINIC HARMONY CHURCH DENTAL CLINIC FT. BENNING US GA FT. BENNING 31905 5637 18 Y 0048 0048 SRMC N Y A Y
NEW 1332 A CLINIC 7TH SPECIAL FORCES (TMC 9) 7TH SPECIAL FORCES (TMC 9) EGLIN AFB US FL EGLIN 32542 18 Y 0048 0048 SRMC Y Y A Y
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 3
12/2/2011
201103 DMIS ID Table Change Report
Navy
Authorized Branch of
Facility Facility Facility Facility Facility 5- Facility 4- Health US Service Facility TRICARE Service/
DMIS Service Type Country State Digit ZIP Digit ZIP Service Flag DMIS MEPRS Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
ID DCW ID MEPRS Unit ID Code Code DMIS Facility Name Facility Name Installation Name Code Code Facility City Name Code Code Region Code Parent ID Parent ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 0103 68084 N68084 N CLINIC NHC CHARLESTON NHC CHARLESTON *JOINT (NF) CHARLESTON (NAV WPNSTA) US SC CHARLESTON 29405 7769 18 Y 0103 0103 NAVMED_E Y Y N Y 1770517658 2865M2000X
FROM 0103 68084 N68084 N CLINIC NHC CHARLESTON NHC CHARLESTON *CHARLESTON US SC CHARLESTON 29405 7769 18 Y 0103 0103 NAVMED_E Y Y N Y 1770517658 2865M2000X
TO 0280 68098 N68098 N CLINIC NHC HAWAII NHC HAWAII *JOINT (NF) BASE PEARL HARBOR-HICKAM US HI PEARL HARBOR 96860 19 Y 0280 0280 NAVMED_W Y Y N Y 1205899879 261QM1100X
FROM 0280 68098 N68098 N CLINIC NHC HAWAII NHC HAWAII *PEARL HARBOR US HI PEARL HARBOR 96860 19 Y 0280 0280 NAVMED_W Y Y N Y 1205899879 261QM1100X
TO 0378 32529 N32529 N CLINIC NBHC LITTLE CREEK NBHC LITTLE CREEK *JOINT (AN) EB LITTLE CREEK-FT STORY US VA NORFOLK 23521 2731 17 Y 0124 0124 NAVMED_E Y Y N Y 1558407734 261QM1100X
FROM 0378 32529 N32529 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
TO 0401 32633 N32633 N CLINIC BMC LAKEHURST BMC LAKEHURST *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ LAKEHURST 08733 5006 17 Y 0306 0306 NCA Y Y N Y 1952509812 261QM1102X
FROM 0401 32633 N32633 N CLINIC BMC LAKEHURST BMC LAKEHURST *LAKEHURST US NJ LAKEHURST 08733 5006 17 Y 0306 0306 NCA Y Y N Y 1952509812 261QM1102X
TO 0511 32543 N32543 N CLINIC NBHC WPNSTA CHARLESTON NBHC WPNSTA CHARLESTON *JOINT (NF) CHARLESTON (NAV WPNSTA) US SC GOOSE CREEK 29445 18 Y 0103 0103 NAVMED_E Y Y N Y 1356534390
FROM 0511 32543 N32543 N CLINIC NBHC WPNSTA CHARLESTON NBHC WPNSTA CHARLESTON *GOOSE CREEK US SC GOOSE CREEK 29445 18 Y 0103 0103 NAVMED_E Y Y N Y 1356534390
TO 0522 35688 N35688 N CLINIC NBHC ANDREWS AFB NBHC ANDREWS AFB *JOINT (NF) ANDREWS NAVAL AIR FAC US MD ANDREWS-AFB 20762 5518 17 Y 0068 0068 NCA Y Y N Y 1487850541 261QM1102X
FROM 0522 35688 N35688 N CLINIC NBHC ANDREWS AFB NBHC ANDREWS AFB *ANDREWS AFB US MD ANDREWS-AFB 20762 5518 17 Y 0068 0068 NCA Y Y N Y 1487850541 261QM1102X
TO 0620 68096 N68096 N HOSP NH GUAM-AGANA NH GUAM *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU AGANA 96910 14 Y 0620 0620 NAVMED_W Y Y N Y 1639127509 2865M2000X
FROM 0620 68096 N68096 N HOSP NH GUAM-AGANA NH GUAM *AGANA GQ GU AGANA 96910 14 Y 0620 0620 NAVMED_W Y Y N Y 1639127509 2865M2000X
TO 0871 32591 N32591 N CLINIC BMC NAVSTA GUAM BMC NAVSTA GUAM *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU SANTA RITA 96915 14 Y 0620 0620 NAVMED_W Y Y N Y 1770789331 261QM1100X
FROM 0871 32591 N32591 N CLINIC BMC NAVSTA GUAM BMC NAVSTA GUAM *NAVSTA GQ GU SANTA RITA 96915 14 Y 0620 0620 NAVMED_W Y Y N Y 1770789331 261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 4
12/2/2011
201103 DMIS ID Table Change Report
Air Force
Authorized Branch of
Facility Facility Facility Facility Facility 5- Facility 4- Health US DMIS Service Facility TRICARE Service/
DMIS MEPRS Service Type Country State Digit ZIP Digit ZIP Service Flag Parent MEPRS Area Command 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 Parent ID Code Code Site (Y/N) Code Code Required NPI 2 Number Taxonomy
TO 0006 0252 FFBBV0 F HOSP 3rd MED GRP-ELMENDORF 3rd MEDICAL GROUP *JOINT (AF) BSE ELMENDORF-RICHARDSON US AK ANCHORAGE 99506 19 Y 0006 0006 PACAF Y Y F Y 1568446524 2865M2000X
FROM 0006 0252 FFBBV0 F HOSP 3rd MED GRP-ELMENDORF 3rd MEDICAL GROUP *ELMENDORF AFB US AK ANCHORAGE 99506 19 Y 0006 0006 PACAF Y Y F Y 1568446524 2865M2000X
TO 0066 2451 FFCMW0 F HOSP 779th MED GRP-ANDREWS 779th MEDICAL GROUP *JOINT (NF) ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 0066 6015 AFDW Y Y F Y 1215994660 2865M2000X
FROM 0066 2451 FFCMW0 F HOSP 779th MED GRP-ANDREWS 779th MEDICAL GROUP *JOINT BASE ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 0066 6015 AFDW Y Y F Y 1215994660 2865M2000X
TO 0117 4865 FFGTS0 F HOSP 59th MED WING-LACKLAND 59th MEDICAL WING *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 0117 6006 AETC Y Y F Y 1275511776 2865M2000X
FROM 0117 4865 FFGTS0 F HOSP 59th MED WING-LACKLAND 59th MEDICAL WING *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 0117 6006 AETC Y Y F Y 1275511776 2865M2000X
TO 0120 5151 FFD5Z0 F HOSP 633rd MED GRP LANGLEY-EUSTIS 633rd MEDICAL GROUP *JOINT (AF) BASE LANGLEY-EUSTIS US VA HAMPTON 23665 17 Y 0120 0120 6011 ACC Y Y F Y 1609859891 2865M2000X
FROM 0120 5151 FFD5Z0 F HOSP 633rd MED GRP LANGLEY-EUSTIS 633rd MEDICAL GROUP *JOINT BASE LANGLEY-EUSTIS US VA HAMPTON 23665 17 Y 0120 0120 6011 ACC Y Y F Y 1609859891 2865M2000X
TO 0287 1551 FFC230 F CLINIC 15th MED GRP-HICKAM 15th MEDICAL GROUP *JOINT (NF) BASE PEARL HARBOR-HICKAM US HI HONOLULU 96853 19 Y 0287 0287 PACAF Y Y F Y 1588638167 261QM1100X
FROM 0287 1551 FFC230 F CLINIC 15th MED GRP-HICKAM 15th MEDICAL GROUP *HICKAM AFB US HI HONOLULU 96853 19 Y 0287 0287 PACAF Y Y F Y 1588638167 261QM1100X
TO 0326 3453 FFCQT0 F CLINIC 87th MED GRP-MCGUIRE 87th MEDICAL GROUP *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ MCGUIRE AFB 08641 17 Y 0326 0326 AMC Y Y F Y 1881650141 261QM1100X
FROM 0326 3453 FFCQT0 F CLINIC 87th MED GRP-MCGUIRE 87th MEDICAL GROUP *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ MCGUIRE AFB 08641 17 Y 0326 0326 AMC Y Y F Y 1881650141 261QM1100X
TO 0356 4553 FFCQS0 F CLINIC 628th MED GRP-CHARLESTON 628th MEDICAL GROUP *JOINT (NF) CHARLESTON (NAV WPNSTA) US SC CHARLESTON 29404 18 Y 0356 0356 AMC Y Y F Y 1114905775 261QM1100X
FROM 0356 4553 FFCQS0 F CLINIC 628th MED GRP-CHARLESTON 628th MEDICAL GROUP *JOINT BASE CHARLESTON US SC CHARLESTON 29404 18 Y 0356 0356 AMC Y Y F Y 1114905775 261QM1100X
TO 0366 4868 FFCCB0 F CLINIC 359th MED GRP-RANDOLPH 359th MEDICAL GROUP *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX UNIVERSAL CITY 78150 18 Y 0366 0366 AETC Y Y F Y 1316911597 261QM1100X
FROM 0366 4868 FFCCB0 F CLINIC 359th MED GRP-RANDOLPH 359th MEDICAL GROUP *RANDOLPH AFB US TX UNIVERSAL CITY 78150 18 Y 0366 0366 AETC Y Y F Y 1316911597 261QM1100X
TO 0395 5354 FFR4W0 F CLINIC 62nd MED SQUAD-MCCHORD 62nd MEDICAL SQUADRON *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98438 19 Y 0395 AMC Y Y F Y 1043270549 261QM1100X
FROM 0395 5354 FFR4W0 F CLINIC 62nd MED SQUAD-MCCHORD 62nd MEDICAL SQUADRON *MCCHORD AFB US WA TACOMA 98438 19 Y 0395 AMC Y Y F Y 1043270549 261QM1100X
TO 0413 1151 FFPOS0 F CLINIC 579TH MED GROUP-BOLLING 579TH MEDICAL GROUP *JOINT (NF) BASE ANACOSTIA-BOLLING US DC BOLLING AFB 20032 17 Y 0413 0413 AFDW Y Y F Y 1013988328 261QM1100X
FROM 0413 1151 FFPOS0 F CLINIC 579TH MED GROUP-BOLLING 579TH MEDICAL GROUP *BOLLING AFB US DC BOLLING AFB 20032 17 Y 0413 0413 AFDW Y Y F Y 1013988328 261QM1100X
TO 0802 GQ51 FFDPO0 F CLINIC 36th MED GRP-ANDERSEN 36th MEDICAL GROUP *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU TAMUNING 96543 14 Y 0802 0802 PACAF Y Y F Y 1679540900
FROM 0802 GQ51 FFDPO0 F CLINIC 36th MED GRP-ANDERSEN 36th MEDICAL GROUP *ANDERSEN AFB GQ GU TAMUNING 96543 14 Y 0802 0802 PACAF Y Y F Y 1679540900
TO 1350 FFF6J0 F CLINIC 559th MED GROUP 559th MED GROUP *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 AETC Y Y F Y 1235355322 261QM1100X
FROM 1350 FFF6J0 F CLINIC 559th MED GROUP 559th MED GROUP *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 AETC Y Y F Y 1235355322 261QM1100X
TO 1351 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (MACKOWEN) *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
FROM 1351 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (MACKOWEN) *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
TO 1354 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (DUNN) *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
FROM 1354 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (DUNN) *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
TO 1749 F DENTAL 62 MEDICAL SQ/SGD-MCCHORD 62 MEDICAL SQ/SGD *JOINT (AF) BASE LEWIS-MCCHORD US WA TACOMA 98438 19 Y 0014 0014 AMC N Y F
FROM 1749 F DENTAL 62 MEDICAL SQ/SGD-MCCHORD 62 MEDICAL SQ/SGD *MCCHORD AFB US WA TACOMA 98438 19 Y 0014 0014 AMC N Y F
TO 1767 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (LACKLAND 1) *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
FROM 1767 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (LACKLAND 1) *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
TO 1782 F DENTAL 628 DENTAL SG/SGD-CHARLESTON 628 DENTAL SG/SGD *JOINT (NF) CHARLESTON (NAV WPNSTA) US SC CHARLESTON 29404 18 Y 0356 0356 AMC N Y F
FROM 1782 F DENTAL 628 DENTAL SG/SGD-CHARLESTON 628 DENTAL SG/SGD *JOINT BASE CHARLESTON US SC CHARLESTON 29404 18 Y 0356 0356 AMC N Y F
TO 1783 F DENTAL 633 DENTAL SQ/SGD LANGLEY-EUST 633 DENTAL SQ/SGD *JOINT (AF) BASE LANGLEY-EUSTIS US VA HAMPTON 23665 17 Y 0120 0120 ACC N Y F
FROM 1783 F DENTAL 633 DENTAL SQ/SGD LANGLEY-EUST 633 DENTAL SQ/SGD *JOINT BASE LANGLEY-EUSTIS US VA HAMPTON 23665 17 Y 0120 0120 ACC N Y F
TO 1787 F DENTAL 779TH DENTAL SQ/SGD-ANDREWS 779TH DENTAL SQ/SGD *JOINT (NF) ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 0066 AFDW N Y F
FROM 1787 F DENTAL 779TH DENTAL SQ/SGD-ANDREWS 779TH DENTAL SQ/SGD *JOINT BASE ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 0066 AFDW N Y F
TO 1789 F DENTAL 87 DENTAL SQ/SGD-MCGUIRE 87 DENTAL SQ/SGD *JOINT (ANF) MCGUIRE-DIX-LAKEHURST US NJ MCGUIRE AFB 08641 17 Y 0326 0326 AMC N Y F
FROM 1789 F DENTAL 87 DENTAL SQ/SGD-MCGUIRE 87 DENTAL SQ/SGD *JOINT BASE MCGUIRE-DIX-LAKEHURST US NJ MCGUIRE AFB 08641 17 Y 0326 0326 AMC N Y F
TO 1792 F DENTAL 3 MEDICAL GP/SGD-ELMENDORF 3 MEDICAL GP/SGD (1) *JOINT (AF) BSE ELMENDORF-RICHARDSON US AK ANCHORAGE 99506 19 Y 0006 0006 PACAF N Y F
FROM 1792 F DENTAL 3 MEDICAL GP/SGD-ELMENDORF 3 MEDICAL GP/SGD (1) *ELMENDORF AFB US AK ANCHORAGE 99506 19 Y 0006 0006 PACAF N Y F
TO 1971 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (OFCR TNG ANNEX) *JOINT (AF) SAN ANTONIO LAF-RAF-FSH US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
FROM 1971 F DENTAL 59 MEDICAL WING/SGD-LACKLAND 59 MEDICAL WING/SGD (OFCR TNG ANNEX) *LACKLAND AFB US TX SAN ANTONIO 78236 18 Y 0117 0117 AETC N Y F
TO 7068 F CLINIC 10th ASF ANDREWS AFB 10th ASF ANDREWS AFB *JOINT (NF) ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 AMC N Y F
FROM 7068 F CLINIC 10th ASF ANDREWS AFB 10th ASF ANDREWS AFB *JOINT BASE ANDREWS NAVAL AIR FAC US MD ANDREWS AFB 20762 17 Y 0066 AMC N Y F
TO 7069 F DENTAL 579TH MEDICAL GP/SGD-BOLLING 579TH MEDICAL GP/SGD *JOINT (NF) BASE ANACOSTIA-BOLLING US DC BOLLING AFB 20032 17 Y 0413 0413 AFDW N Y F
FROM 7069 F DENTAL 579TH MEDICAL GP/SGD-BOLLING 579TH MEDICAL GP/SGD *BOLLING AFB US DC BOLLING AFB 20032 17 Y 0413 0413 AFDW N Y F
TO 7100 F CLINIC 19th ASF-ELMENDORF 19th AEROMEDICAL STAGING FLIGHT *JOINT (AF) BSE ELMENDORF-RICHARDSON US AK ANCHORAGE 99506 19 Y 0006 PACAF N Y F
FROM 7100 F CLINIC 19th ASF-ELMENDORF 19th AEROMEDICAL STAGING FLIGHT *ELMENDORF AFB US AK ANCHORAGE 99506 19 Y 0006 PACAF N Y F
TO 7246 F DENTAL 36 MEDICAL GP/SGOD-ANDERSEN 36 MEDICAL GP/SGOD *JOINT (NF) RGN MARIANAS GUAM-ANDRSN GQ GU TAMUNING 96543 14 Y 0802 0802 PACAF N Y F
FROM 7246 F DENTAL 36 MEDICAL GP/SGOD-ANDERSEN 36 MEDICAL GP/SGOD *ANDERSEN GQ GU TAMUNING 96543 14 Y 0802 0802 PACAF N Y F
TO 7256 F DENTAL 15 MEDICAL GP/SGD-HICKAM 15 MEDICAL GP/SGD *JOINT (NF) BASE PEARL HARBOR-HICKAM US HI HONOLULU 96853 19 Y 0287 0287 PACAF N Y F
FROM 7256 F DENTAL 15 MEDICAL GP/SGD-HICKAM 15 MEDICAL GP/SGD *HICKAM AFB US HI HONOLULU 96853 19 Y 0287 0287 PACAF N Y F
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 5
12/2/2011
201103 DMIS ID Table Change Report
Other
Authorized Branch of
Facility Facility Facility Facility 5- Facility 4- Health US DMIS MEPRS Service Facility TRICARE Service/
DMIS DCW MEPRS Service Facility Type Country State Digit ZIP Digit ZIP Service Flag Parent Parent Area Command Enrollment DHP Authority NPI 2 NPI 2 HIPAA
ID ID Unit ID Code 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. 6
12/2/2011