201001 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 0001 1351 W2FLAA A CLINIC FOX AHC-REDSTONE ARSENAL FOX ARMY HEALTH CENTER REDSTONE ARSENAL US AL *HUNTSVILLE 35809 18 Y 0001 0001 SRMC Y Y A Y 1487609962 261QM1100X
FROM 0001 1351 W2FLAA A CLINIC FOX AHC-REDSTONE ARSENAL FOX ARMY HEALTH CENTER REDSTONE ARSENAL US AL *REDSTONE ARSENAL 35809 18 Y 0001 0001 SRMC Y Y A Y 1487609962 261QM1100X
TO 0003 1361 W2MQAA A CLINIC LYSTER AHC-FT. RUCKER LYSTER AHC FT. RUCKER US AL *FORT RUCKER 36362 18 Y 0003 0003 SRMC Y Y A Y 1932122314 261QM1100X
FROM 0003 1361 W2MQAA A CLINIC LYSTER AHC-FT. RUCKER LYSTER AHC FT. RUCKER US AL *FT. RUCKER 36362 18 Y 0003 0003 SRMC Y Y A Y 1932122314 261QM1100X
TO 0047 1301 W3QMAA A HOSP EISENHOWER AMC-FT. GORDON EISENHOWER AMC FT. GORDON US GA *FORT GORDON 30905 18 Y 0047 0047 SRMC Y Y A Y 1578660742 2865M2000X
FROM 0047 1301 W3QMAA A HOSP EISENHOWER AMC-FT. GORDON EISENHOWER AMC FT. GORDON US GA *FT. GORDON 30905 18 Y 0047 0047 SRMC Y Y A Y 1578660742 2865M2000X
TO 0048 1311 W2L3AA A HOSP MARTIN ACH-FT. BENNING MARTIN ACH FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC Y Y A Y 1194730846 2865M2000X
FROM 0048 1311 W2L3AA A HOSP MARTIN ACH-FT. BENNING MARTIN ACH FT. BENNING US GA *FT. BENNING 31905 18 Y 0048 0048 SRMC Y Y A Y 1194730846 2865M2000X
TO 0049 1371 W2MSAA A HOSP WINN ACH-FT. STEWART WINN ACH FT. STEWART US GA *FORT STEWART 31314 18 Y 0049 0049 6008 SRMC Y Y A Y 1225081136 2865M2000X
FROM 0049 1371 W2MSAA A HOSP WINN ACH-FT. STEWART WINN ACH FT. STEWART US GA *FT. STEWART 31314 18 Y 0049 0049 6008 SRMC Y Y A Y 1225081136 2865M2000X
TO 0058 1221 W2P4AA A CLINIC MUNSON AHC-FT. LEAVENWORTH MUNSON ARMY HEALTH CENTER FT. LEAVENWORTH US KS *FORT LEAVENWORTH 66027 19 Y 0058 0058 WRMC Y Y A Y 1366518433 261QM1100X
FROM 0058 1221 W2P4AA A CLINIC MUNSON AHC-FT. LEAVENWORTH MUNSON ARMY HEALTH CENTER FT. LEAVENWORTH US KS *FT. LEAVENWORTH 66027 19 Y 0058 0058 WRMC Y Y A Y 1366518433 261QM1100X
TO 0060 1321 W2L8AA A HOSP BLANCHFIELD ACH-FT. CAMPBELL BLANCHFIELD ACH FT. CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC Y Y A Y 1417044702 2865M2000X
FROM 0060 1321 W2L8AA A HOSP BLANCHFIELD ACH-FT. CAMPBELL BLANCHFIELD ACH FT. CAMPBELL US KY *FT. CAMPBELL 42223 17 Y 0060 0060 SRMC Y Y A Y 1417044702 2865M2000X
TO 0061 1071 W2LAAA A HOSP IRELAND ACH-FT. KNOX IRELAND ACH FT. KNOX US KY *FORT KNOX 40121 17 Y 0061 0061 NRMC Y Y A Y 1891899274 2865M2000X
FROM 0061 1071 W2LAAA A HOSP IRELAND ACH-FT. KNOX IRELAND ACH FT. KNOX US KY *FT. KNOX 40121 17 Y 0061 0061 NRMC Y Y A Y 1891899274 2865M2000X
TO 0089 1031 W2L6AA A HOSP WOMACK AMC-FT. BRAGG WOMACK AMC FT. BRAGG US NC *FORT BRAGG 28310 7301 17 Y 0089 0089 NRMC Y Y A Y 1740377423 2865M2000X
FROM 0089 1031 W2L6AA A HOSP WOMACK AMC-FT. BRAGG WOMACK AMC FT. BRAGG US NC *FT. BRAGG 28310 7301 17 Y 0089 0089 NRMC Y Y A Y 1740377423 2865M2000X
TO 0098 1431 W2NVAA A HOSP REYNOLDS ACH-FT. SILL REYNOLDS ACH FT. SILL US OK *FORT SILL 73503 18 Y 0098 0098 SRMC Y Y A Y 1487752960 2865M2000X
FROM 0098 1431 W2NVAA A HOSP REYNOLDS ACH-FT. SILL REYNOLDS ACH FT. SILL US OK *FT. SILL 73503 18 Y 0098 0098 SRMC Y Y A Y 1487752960 2865M2000X
TO 0105 1331 W2MJAA A HOSP MONCRIEF ACH-FT. JACKSON MONCRIEF ACH FT. JACKSON US SC *COLUMBIA 29207 18 Y 0105 0105 6010 SRMC Y Y A Y 1386652956 2865M2000X
FROM 0105 1331 W2MJAA A HOSP MONCRIEF ACH-FT. JACKSON MONCRIEF ACH FT. JACKSON US SC *FT. JACKSON 29207 18 Y 0105 0105 6010 SRMC Y Y A Y 1386652956 2865M2000X
TO 0108 1501 W0Q3AA A HOSP WILLIAM BEAUMONT AMC-FT. BLISS WILLIAM BEAUMONT AMC FT. BLISS US TX *EL PASO 79920 19 Y 0108 0108 WRMC Y Y A Y 1295838787 2865M2000X
FROM 0108 1501 W0Q3AA A HOSP WILLIAM BEAUMONT AMC-FT. BLISS WILLIAM BEAUMONT AMC FT. BLISS US TX *FT. BLISS 79920 19 Y 0108 0108 WRMC Y Y A Y 1295838787 2865M2000X
TO 0110 1411 W2M5AA A HOSP DARNALL AMC-FT. HOOD DARNALL AMC FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC Y Y A Y 1801988779 2865M2000X
FROM 0110 1411 W2M5AA A HOSP DARNALL AMC-FT. HOOD DARNALL AMC FT. HOOD US TX *FT. HOOD 76544 18 Y 0110 0110 SRMC Y Y A Y 1801988779 2865M2000X
TO 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
FROM 0121 1061 W2K1AA A CLINIC MCDONALD AHC-FT. EUSTIS MCDONALD ARMY HEALTH CENTER FT. EUSTIS US VA *FT. EUSTIS 23604 17 Y 0121 0121 6011 NRMC Y Y A Y 1922199066 261QM1101X
TO 0122 1081 W2LMAA A CLINIC KENNER AHC-FT. LEE KENNER AHC FT. LEE US VA *FORT LEE 23801 17 Y 0122 0122 6011 NRMC Y Y A Y 1891854014 261QM1100X
FROM 0122 1081 W2LMAA A CLINIC KENNER AHC-FT. LEE KENNER AHC FT. LEE US VA *FT. LEE 23801 17 Y 0122 0122 6011 NRMC Y Y A Y 1891854014 261QM1100X
TO 0471 125A A DENTAL USADC FT. MCCOY USADC FT. MCCOY FT. MCCOY US WI *TAYLOR 54659 17 Y 0061 0061 NRMC 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 NRMC N Y A Y 1093910481 261QM1100X
TO 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
FROM 0553 106A A CLINIC TMC-1-FT. EUSTIS TMC-1-FT. EUSTIS FT. EUSTIS US VA *FT. 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 FT. 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 *FT. EUSTIS 23604 17 Y 0121 0121 NRMC Y Y A Y 1528295615 261QM1100X
TO 0570 W2L6AA A CLINIC USAOHC FT. BRAGG USAOHC FT. BRAGG FT. BRAGG US NC *FORT BRAGG 28310 17 Y 0089 0089 NRMC N Y A Y 1932315074 261QM1100X
FROM 0570 W2L6AA A CLINIC USAOHC FT. BRAGG USAOHC FT. BRAGG FT. BRAGG US NC *FT. BRAGG 28310 17 Y 0089 0089 NRMC N Y A Y 1932315074 261QM1100X
TO 1238 W3ZT67 A DENTAL USADC-1 REDSTONE ARSENAL USADC-1 REDSTONE ARSENAL REDSTONE ARSENAL US AL *HUNTSVILLE 35809 18 Y 0001 0001 SRMC N Y A Y 1871796334 261QM1100X
FROM 1238 W3ZT67 A DENTAL USADC-1 REDSTONE ARSENAL USADC-1 REDSTONE ARSENAL REDSTONE ARSENAL US AL * 35809 18 Y 0001 0001 SRMC N Y A Y 1871796334 261QM1100X
TO 1246 A DENTAL USADC-1 FT. RILEY USADC-1 FT. RILEY FT. RILEY US KS *FORT RILEY 66442 19 Y 0057 0057 WRMC 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 WRMC N Y A Y 1134323413 261QM1100X
TO 1249 A DENTAL HOSPITAL DENT CLINIC-FT BLISS HOSPITAL DENTAL CLINIC #1 FT. BLISS US TX *EL PASO 79920 19 Y 0108 0108 WRMC N Y A Y 1003012576 261QM1100X
FROM 1249 A DENTAL HOSPITAL DENT CLINIC-FT BLISS HOSPITAL DENTAL CLINIC #1 FT. BLISS US TX * 79920 19 Y 0108 0108 WRMC N Y A Y 1003012576 261QM1100X
TO 1250 A DENTAL USADC-WHITESANDS DENTAL CLINIC USADC-WHITESANDS DENTAL CLINIC WHITESANDS US NM *WHITE SANDS MISSILE RANGE 88002 19 Y 0108 0108 WRMC N Y A Y 1629274105 261QM1100X
FROM 1250 A DENTAL USADC-WHITESANDS DENTAL CLINIC USADC-WHITESANDS DENTAL CLINIC WHITESANDS US NM * 88002 19 Y 0108 0108 WRMC N Y A Y 1629274105 261QM1100X
TO 1251 A DENTAL USADC FT. MONROE USADC FT. MONROE FT. MONROE US VA *FORT MONROE 23651 17 Y 0121 0121 NRMC N Y A Y 1821294729 261QM1100X
FROM 1251 A DENTAL USADC FT. MONROE USADC FT. MONROE FT. MONROE US VA * 23651 17 Y 0121 0121 NRMC N Y A Y 1821294729 261QM1100X
TO 1482 W3ZS11 A DENTAL USADC PENTAGON USADC PENTAGON PENTAGON US DC *WASHINGTON 20310 5802 17 Y 0037 0037 NRMC N Y A Y 1881897544 261QM1100X
FROM 1482 W3ZS11 A DENTAL USADC PENTAGON USADC PENTAGON PENTAGON US DC * 20310 5802 17 Y 0037 0037 NRMC N Y A Y 1881897544 261QM1100X
TO 1825 A DENTAL USADC LARSON USADC LARSON FT. CARSON US CO *COLORADO SPRINGS 80913 19 Y 0032 0032 WRMC N Y A Y 1215130703 261QM1100X
FROM 1825 A DENTAL USADC LARSON USADC LARSON FT. CARSON US CO * 80913 19 Y 0032 0032 WRMC N Y A Y 1215130703 261QM1100X
TO 1826 A DENTAL USADC SMITH-FT. CARSON USADC SMITH-FT. CARSON FT. CARSON US CO *COLORADO SPRINGS 80913 19 Y 0032 0032 WRMC N Y A Y 1134322993 261QM1100X
FROM 1826 A DENTAL USADC SMITH-FT. CARSON USADC SMITH-FT. CARSON FT. CARSON US CO * 80913 19 Y 0032 0032 WRMC N Y A Y 1134322993 261QM1100X
TO 1827 A DENTAL USADC-1 FT. CARSON USADC-1 FT. CARSON FT. CARSON US CO *COLORADO SPRINGS 80913 19 Y 0032 0032 WRMC 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 WRMC N Y A Y 1124221619 261QM1100X
TO 1829 A DENTAL USADC-3 FT. RILEY USADC-3 FT. RILEY FT. RILEY US KS *FORT RILEY 66442 19 Y 0057 0057 WRMC 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 WRMC N Y A Y 1184828311 261QM1100X
TO 1830 A DENTAL USADC-4 FT. RILEY USADC-4 FT. RILEY FT. RILEY US KS *FORT RILEY 66442 19 Y 0057 0057 WRMC 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 WRMC N Y A Y 1629272547 261QM1100X
TO 1833 A DENTAL USADC SMITH-FT. LEAVENWORTH USADC SMITH-FT. LEAVENWORTH FT. LEAVENWORTH US KS *FORT LEAVENWORTH 66027 19 Y 0058 0058 WRMC N Y A Y 1356545057 261QM1100X
FROM 1833 A DENTAL USADC SMITH-FT. LEAVENWORTH USADC SMITH-FT. LEAVENWORTH FT. LEAVENWORTH US KS * 66027 19 Y 0058 0058 WRMC N Y A Y 1356545057 261QM1100X
TO 1835 A DENTAL USADC-DISC BKS #3 FT LEVENWORT USADC-DISCIPLINY BKS #3 FT LEAVENWORTH FT. LEAVENWORTH US KS *FORT LEAVENWORTH 66027 19 Y 0058 0058 WRMC 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 WRMC N Y A Y 1063617447 261QM1100X
TO 1836 A DENTAL USADC RUNION USADC RUNION FT. HUACHUCA US AZ *FORT HUACHUCA 85613 19 Y 0008 0008 WRMC N Y A Y 1306049895 261QM1100X
FROM 1836 A DENTAL USADC RUNION USADC RUNION FT. HUACHUCA US AZ * 85613 19 Y 0008 0008 WRMC N Y A Y 1306049895 261QM1100X
TO 1841 A DENTAL USADC-3 FT. BLISS USADC-3 FT. BLISS FT. BLISS US TX *EL PASO 79920 19 Y 0108 0108 WRMC N Y A Y 1487850806 261QM1100X
FROM 1841 A DENTAL USADC-3 FT. BLISS USADC-3 FT. BLISS FT. BLISS US TX * 79920 19 Y 0108 0108 WRMC N Y A Y 1487850806 261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 1
12/4/2011
201001 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 1844 A DENTAL USADC-3 FT. POLK USADC-3 FT. POLK FT. POLK US LA *FORT POLK 71459 18 Y 0064 0064 SRMC 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 SRMC N Y A Y 1811192461 261QM1100X
TO 1848 A DENTAL USADC-2 DACH-FT.HOOD USADC-2 DACH FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1881890309 261QM1100X
FROM 1848 A DENTAL USADC-2 DACH-FT.HOOD USADC-2 DACH FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1881890309 261QM1100X
TO 1850 A DENTAL USADC PERKINS USADC PERKINS FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1508062944 261QM1100X
FROM 1850 A DENTAL USADC PERKINS USADC PERKINS FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1508062944 261QM1100X
TO 1851 A DENTAL USADC-3 FT. HOOD USADC-3 FT. HOOD FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1073710893 261QM1100X
FROM 1851 A DENTAL USADC-3 FT. HOOD USADC-3 FT. HOOD FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1073710893 261QM1100X
TO 1852 A DENTAL USADC-5 FT. HOOD USADC-5 FT. HOOD FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1073719225 261QM1100X
FROM 1852 A DENTAL USADC-5 FT. HOOD USADC-5 FT. HOOD FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1073719225 261QM1100X
TO 1853 A DENTAL USADC-BILLY JOHNSON DEN CLIN USADC-BILLY JOHNSON DENTAL CLINIC FT HOOD FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1871799023 261QM1100X
FROM 1853 A DENTAL USADC-BILLY JOHNSON DEN CLIN USADC-BILLY JOHNSON DENTAL CLINIC FT HOOD FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1871799023 261QM1100X
TO 1854 A DENTAL USADC INPROCESS CTR-FT. HOOD USADC INPROCESSING CENTER FT. HOOD US TX *FORT HOOD 76544 18 Y 0110 0110 SRMC N Y A Y 1396941274 261QM1100X
FROM 1854 A DENTAL USADC INPROCESS CTR-FT. HOOD USADC INPROCESSING CENTER FT. HOOD US TX * 76544 18 Y 0110 0110 SRMC N Y A Y 1396941274 261QM1100X
TO 1866 A DENTAL USADC ROLL-FT. LEONARD WOOD USADC ROLL-FT. LEONARD WOOD FT. LEONARD WOOD US MO *FORT LEONARD WOOD 65473 19 Y 0075 0075 WRMC 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 WRMC N Y A Y 1760687214 261QM1100X
TO 1870 A DENTAL USADC-1 FT. RUCKER USADC-1 FT. RUCKER FT. RUCKER US AL *FORT RUCKER 36362 18 Y 0003 0003 SRMC 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 SRMC N Y A Y 1144423617 261QM1100X
TO 1875 A DENTAL USA ORAL HEALTH CENTER FT. GOR USA ORAL HEALTH CENTER FT. GORDON FT. GORDON US GA *FORT GORDON 30905 18 Y 0047 0047 SRMC 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 SRMC N Y A Y 1346443017 261QM1100X
TO 1877 A DENTAL USADC FT. MCPHERSON USADC FT. MCPHERSON FT. MCPHERSON US GA *ATLANTA 30330 18 Y 0047 0047 SRMC 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 SRMC N Y A Y 1619170198 261QM1100X
TO 1879 A DENTAL USADC TINGAY USADC TINGAY FT. GORDON US GA *FORT GORDON 30905 18 Y 0047 0047 SRMC N Y A Y 1588868848 261QM1100X
FROM 1879 A DENTAL USADC TINGAY USADC TINGAY FT. GORDON US GA * 30905 18 Y 0047 0047 SRMC N Y A Y 1588868848 261QM1100X
TO 1880 A DENTAL USADC-SNYDER FT GORDON USADC-SNYDER FT GORDON FT. GORDON US GA *FORT GORDON 30905 18 Y 0047 0047 SRMC 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 SRMC N Y A Y 1396949657 261QM1100X
TO 1881 A DENTAL USADC BERNHEIM USADC BERNHEIM FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC N Y A Y 1083818280 261QM1100X
FROM 1881 A DENTAL USADC BERNHEIM USADC BERNHEIM FT. BENNING US GA * 31905 18 Y 0048 0048 SRMC N Y A Y 1083818280 261QM1100X
TO 1882 A DENTAL USADC SALOMON USADC SALOMON FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC N Y A Y 1891999090 261QM1100X
FROM 1882 A DENTAL USADC SALOMON USADC SALOMON FT. BENNING US GA * 31905 18 Y 0048 0048 SRMC N Y A Y 1891999090 261QM1100X
TO 1883 A DENTAL USADC-1 FT. BENNING USADC-1 FT. BENNING FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC 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 SRMC N Y A Y 1174726640 261QM1100X
TO 1884 A DENTAL USADC-SOLDIERS PLAZA FT BENNIN USADC-SOLDIERS PLAZA FT BENNING FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC 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 SRMC N Y A Y 1245434448 261QM1100X
TO 1886 A DENTAL USADC-1 FT. STEWART USADC-1 FT. STEWART FT. STEWART US GA *HINESVILLE 31313 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1932302437 261QM1100X
TO 1887 A DENTAL USADC-2 FT STEWART USADC-2 FT STEWART FT. STEWART US GA *HINESVILLE 31313 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1437353778 261QM1100X
TO 1888 A DENTAL USADC-4 FT. STEWART USADC-4 FT. STEWART FT. STEWART US GA *FORT STEWART 31314 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1235333592 261QM1100X
TO 1889 A DENTAL USADC EPPERLY USADC EPPERLY FT. CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC N Y A Y 1457556912 261QM1100X
FROM 1889 A DENTAL USADC EPPERLY USADC EPPERLY FT. CAMPBELL US KY * 42223 17 Y 0060 0060 SRMC N Y A Y 1457556912 261QM1100X
TO 1890 A DENTAL USADC KUHN/LA POINTE USADC KUHN/LA POINTE FT. CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC 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 SRMC N Y A Y 1851596233 261QM1100X
TO 1891 A DENTAL USADC TAYLOR-5 USADC TAYLOR-5 FT. CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC 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 SRMC N Y A Y 1215131933 261QM1100X
TO 1892 A DENTAL USADC DAVIS USADC DAVIS FT. BRAGG US NC *FORT BRAGG 28310 7302 17 Y 0089 0089 NRMC N Y A Y 1649476987 261QM1100X
FROM 1892 A DENTAL USADC DAVIS USADC DAVIS FT. BRAGG US NC *FT. BRAGG 28310 7302 17 Y 0089 0089 NRMC N Y A Y 1649476987 261QM1100X
TO 1893 A DENTAL USADC LAFLAMME USADC LAFLAMME FT. BRAGG US NC *FORT BRAGG 28310 7302 17 Y 0089 0089 NRMC 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 NRMC N Y A Y 1306041884 261QM1100X
TO 1894 A DENTAL USADC ROHDE USADC ROHDE FT. BRAGG US NC *FORT BRAGG 28310 7302 17 Y 0089 0089 NRMC 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 NRMC N Y A Y 1194920678 261QM1100X
TO 1895 A DENTAL USADC-5 FT. BRAGG USADC-5 FT. BRAGG FT. BRAGG US NC *FORT BRAGG 28310 7302 17 Y 0089 0089 NRMC 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 NRMC N Y A Y 1447455936 261QM1100X
TO 1897 A DENTAL USADC CALDWELL USADC CALDWELL FT. JACKSON US SC *COLUMBIA 29207 18 Y 0105 0105 SRMC N Y A Y 1932304946 261QM1100X
FROM 1897 A DENTAL USADC CALDWELL USADC CALDWELL FT. JACKSON US SC * 29207 18 Y 0105 0105 SRMC N Y A Y 1932304946 261QM1100X
TO 1898 A DENTAL USADC HAGEN USADC HAGEN FT. JACKSON US SC *COLUMBIA 29207 18 Y 0105 0105 SRMC N Y A Y 1376749838 261QM1100X
FROM 1898 A DENTAL USADC HAGEN USADC HAGEN FT. JACKSON US SC * 29207 18 Y 0105 0105 SRMC N Y A Y 1376749838 261QM1100X
TO 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
FROM 1900 A DENTAL USADC TIGNOR USADC TIGNOR FT. EUSTIS US VA * 23604 17 Y 0121 0121 NRMC N Y A Y 1508062779 261QM1100X
TO 1901 A DENTAL USADC COL BULL USADC COL BULL FT. LEE US VA *FORT LEE 23801 17 Y 0122 0122 NRMC 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 NRMC N Y A Y 1689879330 261QM1100X
TO 1902 A DENTAL USADC EDGEWOOD ARSENAL USADC EDGEWOOD ARSENAL EDGEWOOD ARSENAL US MD *GUNPOWDER 21010 17 Y 0069 0069 NRMC 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 NRMC N Y A Y 1093910374 261QM1100X
TO 1906 A DENTAL USADC ABERDEEN PROVING GROUNDS USADC ABERDEEN PROVING GROUNDS ABERDEEN PROVING GRND US MD *ABERDEEN PROVING GROUND 21005 17 Y 0069 0069 NRMC 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 NRMC N Y A Y 1689879926 261QM1100X
TO 1907 A DENTAL USADC EPES USADC EPES FT. MEADE US MD *FORT MEADE 20755 17 Y 0069 0069 NRMC N Y A Y 1124223797 261QM1100X
FROM 1907 A DENTAL USADC EPES USADC EPES FT. MEADE US MD * 20755 17 Y 0069 0069 NRMC N Y A Y 1124223797 261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 2
12/4/2011
201001 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 1909 A DENTAL USADC-3 FT. MEADE USADC-3 FT. MEADE FT. MEADE US MD *FORT MEADE 20755 17 Y 0069 0069 NRMC 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 NRMC N Y A Y 1558566125 261QM1100X
TO 1910 A DENTAL USADC FT. MONMOUTH USADC FT. MONMOUTH FT. MONMOUTH US NJ *FORT MONMOUTH 07703 17 Y 0086 0086 NRMC 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 NRMC N Y A Y 1205031770 261QM1100X
TO 1914 A DENTAL USADC-1 USMA(POST) USADC-1 USMA(POST) WEST POINT US NY *WEST POINT 10996 17 Y 0086 0086 NRMC 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 NRMC N Y A Y 1235334392 261QM1100X
TO 1916 A DENTAL USADC-3 USMA USADC-3 USMA WEST POINT US NY *WEST POINT 10996 17 Y 0086 0086 NRMC 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 NRMC N Y A Y 1881899987 261QM1100X
TO 1917 A DENTAL USADC CARLISLE BARRACKS USADC CARLISLE BARRACKS CARLISLE BARRACKS US PA *CARLISLE 17013 17 Y 0069 0069 NRMC 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 NRMC N Y A Y 1174728414 261QM1100X
TO 1918 A DENTAL USADC LOGAN USADC LOGAN FT. BELVOIR US VA *FORT BELVOIR 22060 17 Y 0123 0123 NRMC N Y A Y 1558566216 261QM1100X
FROM 1918 A DENTAL USADC LOGAN USADC LOGAN FT. BELVOIR US VA * 22060 17 Y 0123 0123 NRMC N Y A Y 1558566216 261QM1100X
TO 1951 A DENTAL USADC JORDAN USADC JORDAN FT. KNOX US KY *FORT KNOX 40121 17 Y 0061 0061 NRMC N Y A Y 1225233547 261QM1100X
FROM 1951 A DENTAL USADC JORDAN USADC JORDAN FT. KNOX US KY * 40121 17 Y 0061 0061 NRMC N Y A Y 1225233547 261QM1100X
TO 1952 A DENTAL USADC HARPER-FT. LEONARD WOOD USADC HARPER-FT. LEONARD WOOD FT. LEONARD WOOD US MO *FORT LEONARD WOOD 65473 19 Y 0075 0075 WRMC 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 WRMC N Y A Y 1700081700 261QM1100X
TO 1953 A DENTAL USADC ALLEN-FT. SILL USADC ALLEN-FT. SILL FT. SILL US OK *FORT SILL 73503 18 Y 0098 0098 SRMC N Y A Y 1699971143 261QM1100X
FROM 1953 A DENTAL USADC ALLEN-FT. SILL USADC ALLEN-FT. SILL FT. SILL US OK * 73503 18 Y 0098 0098 SRMC N Y A Y 1699971143 261QM1100X
TO 1954 A DENTAL USADC COWAN-FT. SILL USADC COWAN-FT. SILL FT. SILL US OK *FORT SILL 73503 18 Y 0098 0098 SRMC N Y A Y 1881890358 261QM1100X
FROM 1954 A DENTAL USADC COWAN-FT. SILL USADC COWAN-FT. SILL FT. SILL US OK * 73503 18 Y 0098 0098 SRMC N Y A Y 1881890358 261QM1100X
TO 1956 A DENTAL DC-4(HOSPITAL) FT. BENNING DC-4 (HOSPITAL) FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC 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 SRMC N Y A Y 1063616266 261QM1100X
TO 1965 A DENTAL USADC BACH USADC BACH FT. CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC N Y A Y 1558566935 261QM1100X
FROM 1965 A DENTAL USADC BACH USADC BACH FT. CAMPBELL US KY * 42223 17 Y 0060 0060 SRMC N Y A Y 1558566935 261QM1100X
TO 1968 A DENTAL USADC-2 FT. SILL USADC-2 FT. SILL FT. SILL US OK *FORT SILL 73503 18 Y 0098 0098 SRMC N Y A Y 1083810550 261QM1100X
FROM 1968 A DENTAL USADC-2 FT. SILL USADC-2 FT. SILL FT. SILL US OK * 73503 18 Y 0098 0098 SRMC N Y A Y 1083810550 261QM1100X
TO 6013 A CLINIC SOLDIER SERVICE CENTER SOLDIER SERVICE CENTER FT HOOD US TX *FORT HOOD 76544 4752 18 Y 0110 0110 SRMC N Y A Y 1881842789 261QM1100X
FROM 6013 A CLINIC SOLDIER SERVICE CENTER SOLDIER SERVICE CENTER FT HOOD US TX *FT HOOD 76544 4752 18 Y 0110 0110 SRMC N Y A Y 1881842789 261QM1100X
TO 6014 W2M506 A CLINIC CHARLES MOORE HLTH CLN-FT HOOD CHARLES MOORE HEALTH CLINIC-FT HOOD FT HOOD US TX *FORT HOOD 76544 4752 18 Y 0110 0110 SRMC Y Y A Y 1881809697 261QM1100X
FROM 6014 W2M506 A CLINIC CHARLES MOORE HLTH CLN-FT HOOD CHARLES MOORE HEALTH CLINIC-FT HOOD FT HOOD US TX *FT HOOD 76544 4752 18 Y 0110 0110 SRMC Y Y A Y 1881809697 261QM1100X
TO 6028 A DENTAL USADC SHIRA DC-FT. POLK USADC SHIRA DC-FT. POLK FT. POLK US LA *FORT POLK 71459 18 Y 0064 0064 SRMC 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 SRMC N Y A Y 1619172905 261QM1100X
TO 6076 A CLINIC WEST FORT HOOD CLINIC WEST FORT HOOD CLINIC FT. HOOD US TX *FORT HOOD 76544 4752 18 Y 0110 0110 SRMC Y Y A Y 1144478058 261QM1100X
FROM 6076 A CLINIC WEST FORT HOOD CLINIC WEST FORT HOOD CLINIC FT. HOOD US TX *FT. HOOD 76544 4752 18 Y 0110 0110 SRMC Y Y A Y 1144478058 261QM1100X
TO 6099 W2NVAA A CLINIC CRAIG ROAD TMC #1-FT. SILL CRAIG ROAD TMC #1-FT. SILL FT. SILL US OK *FORT SILL 73503 9042 18 Y 0098 0098 SRMC N Y A Y 1427208008 261QM1100X
FROM 6099 W2NVAA A CLINIC CRAIG ROAD TMC #1-FT. SILL CRAIG ROAD TMC #1-FT. SILL FT. SILL US OK *FT. SILL 73503 9042 18 Y 0098 0098 SRMC N Y A Y 1427208008 261QM1100X
TO 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
FROM 7135 A DENTAL BUDGE DENT. CLIN-FT. SAM HOUST BUDGE DENTAL CLINIC FT. SAM HOUSTON US TX * 78234 18 Y 0109 0109 SRMC N Y A Y 1912102955 261QM1100X
TO 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
FROM 7136 A DENTAL USADC-RHOADES USADC RHOADES FT. SAM HOUSTON US TX * 78234 18 Y 0109 0109 SRMC N Y A Y 1164627121 261QM1100X
TO 7143 103V W2L6AA A CLINIC ROBINSON CLINIC-FT. BRAGG ROBINSON CLINIC FT. BRAGG US NC *FORT BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1891909321 261QM1100X
FROM 7143 103V W2L6AA A CLINIC ROBINSON CLINIC-FT. BRAGG ROBINSON CLINIC FT. BRAGG US NC *FT. BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1891909321 261QM1100X
TO 7198 W2LAAA A CLINIC NELSON MEDICAL CLINIC-FT.KNOX NELSON MEDICAL CLINIC FT. KNOX US KY *FORT KNOX 40121 17 Y 0061 0061 NRMC Y Y A Y 1528276516 261QM1100X
FROM 7198 W2LAAA A CLINIC NELSON MEDICAL CLINIC-FT.KNOX NELSON MEDICAL CLINIC FT. KNOX US KY *FT. KNOX 40121 17 Y 0061 0061 NRMC Y Y A Y 1528276516 261QM1100X
TO 7205 W2MSAA A DENTAL USA DC WELCOME CENTER USA DC WELCOME CENTER FT. STEWART US GA *FORT STEWART 31314 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1912101270 261QM1100X
TO 7286 W2L6AA A CLINIC JOEL CLINIC-FT. BRAGG JOEL CLINIC FT. BRAGG US NC *FORT BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1962616490 261QM1100X
FROM 7286 W2L6AA A CLINIC JOEL CLINIC-FT. BRAGG JOEL CLINIC FT. BRAGG US NC *FT. BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1962616490 261QM1100X
TO 7294 W2L6AA A CLINIC CLARK CLINIC-FT. BRAGG CLARK CLINIC FT. BRAGG US NC *FORT BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1295941664 261QM1100X
FROM 7294 W2L6AA A CLINIC CLARK CLINIC-FT. BRAGG CLARK CLINIC FT. BRAGG US NC *FT. BRAGG 28310 7312 17 Y 0089 0089 NRMC Y Y A Y 1295941664 261QM1100X
TO 7307 A CLINIC LA POINTE HEALTH CLINIC LA POINTE HEALTH CLINIC FT CAMPBELL US KY *FORT CAMPBELL 42223 17 Y 0060 0060 SRMC Y Y A Y 1982812640 261QM1100X
FROM 7307 A CLINIC LA POINTE HEALTH CLINIC LA POINTE HEALTH CLINIC FT CAMPBELL US KY *FT CAMPBELL 42223 17 Y 0060 0060 SRMC Y Y A Y 1982812640 261QM1100X
TO 7308 A DENTAL USADC-ONE STOP CLINIC FT BRAGG USADC-ONE STOP CLINIC FT BRAGG FT. BRAGG US NC *FORT BRAGG 28310 7302 17 Y 0089 0089 NRMC 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 NRMC N Y A Y 1154526275 261QM1100X
TO 7315 A DENTAL USADC-RECEPTION STATION USADC-RECEPTION STATION FT. BENNING US GA *FORT BENNING 31905 18 Y 0048 0048 SRMC 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 SRMC N Y A Y 1972707172 261QM1100X
TO 7317 A DENTAL USADC-HUNTER ARMY AIRFIELD USADC-HUNTER ARMY AIRFIELD DENTAL CLINIC HUNTER ARMY AIRFIELD US GA *SAVANNAH 31409 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1669676953 261QM1100X
TO 7318 A DENTAL USADC-IRELAND HOSPITAL DC USADC-HOSPITAL DENTAL CLINIC #4 (IRELAND) FT. KNOX US KY *FORT KNOX 40121 17 Y 0061 0061 NRMC 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 NRMC N Y A Y 1295930683 261QM1100X
TO 7319 A DENTAL USADC-FT DETRICK USADC-FT DETRICK DENTAL CLINIC FT DETRICK US MD *FORT DETRICK 21702 17 Y 0069 0069 NRMC 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 NRMC N Y A Y 1316142607 261QM1100X
TO 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
FROM 7324 A DENTAL USADC-HOSPITAL DC FT EUSTIS USADC-HOSPITAL DENTAL CLINIC FT EUSTIS FT. EUSTIS US VA *FT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A Y 1659577534 261QM1100X
TO 7334 A DENTAL USADC-6 FT. STEWART USADC-6 FT. STEWART FT. STEWART US GA *FORT STEWART 31314 18 Y 0049 0049 SRMC 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 SRMC N Y A Y 1417151788 261QM1100X
TO 7338 W3ZT60 A DENTAL USADC-4 FT. CAMPBELL USADC-4 FT. CAMPBELL FT. CAMPBELL US KY *FORT CAMPBELL 42223 5369 17 Y 0060 0060 SRMC N Y A Y 1306094909 261QM1100X
FROM 7338 W3ZT60 A DENTAL USADC-4 FT. CAMPBELL USADC-4 FT. CAMPBELL FT. CAMPBELL US KY *FT. CAMPBELL 42223 5369 17 Y 0060 0060 SRMC N Y A Y 1306094909 261QM1100X
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 3
12/4/2011
201001 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 8505 W3U4 A VETCL AP HILL FI VETERINARY FACILITY AP HILL VET FACILITY (VA) FT AP HILL US VA *FORT A P HILL 22427 17 Y 0123 0123 NRMC N Y A
FROM 8505 W3U4 A VETCL AP HILL FI VETERINARY FACILITY AP HILL VET FACILITY (VA) FT AP HILL US VA *AP HILL 22427 17 Y 0123 0123 NRMC N Y A
TO 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
FROM 8506 W3U4BO A VETCL ANDREWS VETERINARY FACILITY ANDREWS VET FACILITY (DC) FT MYER US VA *WASHINGTON DC 22211 17 Y 0123 0123 NRMC N Y A
TO 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
FROM 8509 W3U4BE A VETCL FT MYER VETERINARY FACILITY FT MYER VET FACILIT (VA) FT MYER US VA *WASHINGTON DC 22211 17 Y 0123 0123 NRMC N Y A
TO 8511 W3U4BK A VETCL FOREST GLEN VETERINARY FAC FOREST GLEN VET FACILITY (MD) WRAMC US MD *SILVER SPRING 20910 17 Y 0123 0123 NRMC N Y A
FROM 8511 W3U4BK A VETCL FOREST GLEN VETERINARY FAC FOREST GLEN VET FACILITY (MD) WRAMC US MD *SILVERSPRING 20910 17 Y 0123 0123 NRMC N Y A
TO 8513 W3U4BP A VETCL FT MEADE VETERINARY FACILITY FT MEADE VET FACILITY (MD) FT MEADE US MD *FORT MEADE 20755 17 Y 0123 0123 NRMC N Y A
FROM 8513 W3U4BP A VETCL FT MEADE VETERINARY FACILITY FT MEADE VET FACILITY (MD) FT MEADE US MD *FT MEADE 20755 17 Y 0123 0123 NRMC N Y A
TO 8515 W3U4BV A VETCL ABERDEEN PROVING GRND VET FAC ABERDEEN PROVING GR VET FACILITY (MD) APG US MD *ABERDEEN PROVING GROUND 21005 17 Y 0123 0123 NRMC N Y A
FROM 8515 W3U4BV A VETCL ABERDEEN PROVING GRND VET FAC ABERDEEN PROVING GR VET FACILITY (MD) APG US MD *APG 21005 17 Y 0123 0123 NRMC N Y A
TO 8516 W3U4BY A VETCL EDGEWOOD VETERINARY FACILITY EDGEWOOD VET FACILITY EDGEWOOD ARSENAL US MD *GUNPOWDER 21010 17 Y 0123 0123 NRMC N Y A
FROM 8516 W3U4BY A VETCL EDGEWOOD VETERINARY FACILITY EDGEWOOD VET FACILITY EDGEWOOD ARSENAL US MD *EDGEWOOD ARSENAL 21010 17 Y 0123 0123 NRMC N Y A
TO 8522 W3U41J A VETCL TOBYHANNA ARMY DEPOT FI VET FA TOBYHANNA VET FACILITY (PA) TOBYHANNA ARMY DEPOT US PA *TOBYHANNA 18466 17 Y 0069 0069 NRMC N Y A
FROM 8522 W3U41J A VETCL TOBYHANNA ARMY DEPOT FI VET FA TOBYHANNA VET FACILITY (PA) TOBYHANNA ARMY DEPOT US PA *TOBYHANNA AD 18466 17 Y 0069 0069 NRMC N Y A
TO 8527 W3U41W A VETCL FT KNOX VETERINARY FACILITY FT KNOX VET FACILITY (KY) FT KNOX US KY *FORT KNOX 40121 17 Y 0061 0061 NRMC N Y A
FROM 8527 W3U41W A VETCL FT KNOX VETERINARY FACILITY FT KNOX VET FACILITY (KY) FT KNOX US KY *FT KNOX 40121 17 Y 0061 0061 NRMC N Y A
TO 8528 W3U44Z A VETCL HARRISON VILLAGE FI VET FAC HARRISON VILLAGE SEC (IN) FT BENJAMIN HARRISON US IN *INDIANAPOLIS 46216 17 Y 0061 0061 NRMC N Y A
FROM 8528 W3U44Z A VETCL HARRISON VILLAGE FI VET FAC HARRISON VILLAGE SEC (IN) FT BENJAMIN HARRISON US IN *FT BENJAMIN HARRISON 46216 17 Y 0061 0061 NRMC N Y A
TO 8529 W3U425 A VETCL SCOTT AFB VETERINARY FACILITY SCOTT AFB VET FACILITY (IL) SCOTT AFB US IL *SCOTT AIR FORCE BASE 62225 17 Y 0061 0061 NRMC N Y A
FROM 8529 W3U425 A VETCL SCOTT AFB VETERINARY FACILITY SCOTT AFB VET FACILITY (IL) SCOTT AFB US IL *BELLVILLE 62225 17 Y 0061 0061 NRMC N Y A
TO 8530 W3U426 A VETCL GRANITE CITY FI VETERINARY FAC GRANITE CITY VET FACILITY (IL) MELVIN C PRICE SUPPORT CTR US IL *FILLMORE 62032 17 Y 0061 0061 NRMC N Y A
FROM 8530 W3U426 A VETCL GRANITE CITY FI VETERINARY FAC GRANITE CITY VET FACILITY (IL) MELVIN C PRICE SUPPORT CTR US IL *GRANITE CITY 62032 17 Y 0061 0061 NRMC N Y A
TO 8531 W3U41Z A VETCL WRIGHT-PATTERSON VETERINARY FA WRIGHT-PATTERSON VET FACILITY-(OH) WRIGHT-PATTERSON AFB US OH *DAYTON 45433 17 Y 0061 0061 NRMC N Y A
FROM 8531 W3U41Z A VETCL WRIGHT-PATTERSON VETERINARY FA WRIGHT-PATTERSON VET FACILITY-(OH) WRIGHT-PATTERSON AFB US OH *FAIRBORN 45433 17 Y 0061 0061 NRMC N Y A
TO 8533 W3U4 A VETCL CAMP ATTERBURY VETERINARY FAC CAMP ATTERBURY VET FACILITY (IN) CAMP ATTERBURY US IN *EDINBURGH 46124 17 Y 0061 0061 NRMC N Y A
FROM 8533 W3U4 A VETCL CAMP ATTERBURY VETERINARY FAC CAMP ATTERBURY VET FACILITY (IN) CAMP ATTERBURY US IN *EDINBURG 46124 17 Y 0061 0061 NRMC N Y A
TO 8535 W3U4 A VETCL CAMP GRAYLING VETERINARY FACIL CAMP GRAYLING VET FACILITY (MI) CAMP GRAYLING US MI *GRAYLING 49739 17 Y 0061 0061 NRMC N Y A
FROM 8535 W3U4 A VETCL CAMP GRAYLING VETERINARY FACIL CAMP GRAYLING VET FACILITY (MI) CAMP GRAYLING US MI *CAMP GRAYLING 49739 17 Y 0061 0061 NRMC N Y A
TO 8537 W3U431 A VETCL FT MCCOY FI VETERINARY FACILIT FT MCCOY VET FACILITY (WI) FT MCCOY US WI *TAYLOR 54659 17 Y 0061 0061 NRMC N Y A
FROM 8537 W3U431 A VETCL FT MCCOY FI VETERINARY FACILIT FT MCCOY VET FACILITY (WI) FT MCCOY US WI *SPARTA 54659 17 Y 0061 0061 NRMC N Y A
TO 8538 W3U432 A VETCL ROCK ISLAND FI VETERINARY FACI ROCK ISLAND VET FACILITY (IL) ROCK ISLAND ARSENAL US IL *ROCK ISLAND 61299 17 Y 0061 0061 NRMC N Y A
FROM 8538 W3U432 A VETCL ROCK ISLAND FI VETERINARY FACI ROCK ISLAND VET FACILITY (IL) ROCK ISLAND ARSENAL US IL *ROCK ISLAND ARSENAL 61299 17 Y 0061 0061 NRMC N Y A
TO 8539 W3U430 A VETCL CHICAGO TERMINAL MARKET VET FA CHICAGO TERMINAL MARKET VET FACILITY CHICAGO US IL *GREAT LAKES 60608 17 Y 0061 0061 NRMC N Y A
FROM 8539 W3U430 A VETCL CHICAGO TERMINAL MARKET VET FA CHICAGO TERMINAL MARKET VET FACILITY CHICAGO US IL *CHICAGO 60608 17 Y 0061 0061 NRMC N Y A
TO 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
FROM 8557 W3U43W A VETCL MID-ATLANTIC DISTRICT VET CMD MID-ATLANTIC DVC-FT EUSTIS (VA) FT EUSTIS US VA *FT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
TO 8558 W3U43W A VETCL PENINSULA VETERINARY FACILITY PENINSULA VET FACILITY (VA) FT EUSTIS US VA *FORT EUSTIS 23604 17 Y 0121 0121 NRMC N Y A
FROM 8558 W3U43W A VETCL PENINSULA VETERINARY FACILITY PENINSULA VET FACILITY (VA) FT EUSTIS US VA *FT 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) FT 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 *FT EUSTIS VET FACILITY (VA) 23604 17 Y 0121 0121 NRMC N Y A
TO 8568 W3U44C A VETCL FT LEE VETERINARY FACILITY FT LEE VET FACILITY (VA) FT LEE US VA *FORT LEE 23801 17 Y 0121 0121 NRMC N Y A
FROM 8568 W3U44C A VETCL FT LEE VETERINARY FACILITY FT LEE VET FACILITY (VA) FT LEE US VA *FT LEE 23801 17 Y 0121 0121 NRMC N Y A
TO 8571 W3U44P A VETCL FT BRAGG VETERINARY FACILITY FT BRAGG VET FACILITY (NC) FT BRAGG US NC *FORT BRAGG 28310 17 Y 0089 0089 NRMC N Y A
FROM 8571 W3U44P A VETCL FT BRAGG VETERINARY FACILITY FT BRAGG VET FACILITY (NC) FT BRAGG US NC *FT BRAGG 28310 17 Y 0089 0089 NRMC N Y A
TO 8572 W3U44S A VETCL SEYMOUR JOHNSON AFB VET FAC SEYMOUR JOHNSON AFB VET FACILITY SEYMOUR JOHNSON AFB US NC *GOLDSBORO 27531 17 Y 0089 0089 NRMC N Y A
FROM 8572 W3U44S A VETCL SEYMOUR JOHNSON AFB VET FAC SEYMOUR JOHNSON AFB VET FACILITY SEYMOUR JOHNSON AFB US NC *GOLDBORO 27531 17 Y 0089 0089 NRMC N Y A
TO 8574 W3U44V A VETCL CAMP LEJEUNE VETERINARY FACILI CAMP LEJEUNE VET FACILITY CAMP LEJEUNE US NC *MCCUTCHEON FIELD 28545 17 Y 0089 0089 NRMC N Y A
FROM 8574 W3U44V A VETCL CAMP LEJEUNE VETERINARY FACILI CAMP LEJEUNE VET FACILITY CAMP LEJEUNE US NC *CAMP LEJEUNE 28545 17 Y 0089 0089 NRMC N Y A
TO 8575 W3U44V A VETCL NEW RIVER FI VETERINARY FACILI NEW RIVER VET FACILITY (NC) CAMP LEJEUNE US NC *MCCUTCHEON FIELD 28545 17 Y 0089 0089 NRMC N Y A
FROM 8575 W3U44V A VETCL NEW RIVER FI VETERINARY FACILI NEW RIVER VET FACILITY (NC) CAMP LEJEUNE US NC *CAMP LEJEUNE 28545 17 Y 0089 0089 NRMC N Y A
TO 8581 W3U450 A VETCL SACRAMENTO VETERINARY FACILITY SACRAMENTO VET FACILITY MCCLELLAN AFB US CA *MCCLELLAN 95652 19 Y 0125 0125 WRMC N Y A
FROM 8581 W3U450 A VETCL SACRAMENTO VETERINARY FACILITY SACRAMENTO VET FACILITY MCCLELLAN AFB US CA *SACRAMENTO 95652 19 Y 0125 0125 WRMC N Y A
TO 8597 W3U466 A VETCL FAIRCHILD AFB VETERINARY FACIL FAIRCHILD AFB VET FACILITY (WA) FAIRCHILD AFB US WA *FAIRCHILD AIR FORCE BASE 99011 19 Y 0125 0125 WRMC N Y A
FROM 8597 W3U466 A VETCL FAIRCHILD AFB VETERINARY FACIL FAIRCHILD AFB VET FACILITY (WA) FAIRCHILD AFB US WA *SPOKANE 99011 19 Y 0125 0125 WRMC N Y A
TO 8598 W3U467 A VETCL MOUNTAIN HOME AFB VETERINARY F MOUNTAIN HOME AFB VET FACILITY (ID) MOUNTAIN HOME US ID *MOUNTAIN HOME A F B 83648 19 Y 0125 0125 WRMC N Y A
FROM 8598 W3U467 A VETCL MOUNTAIN HOME AFB VETERINARY F MOUNTAIN HOME AFB VET FACILITY (ID) MOUNTAIN HOME US ID *MOUNTAIN HOME 83648 19 Y 0125 0125 WRMC N Y A
TO 8600 W3U486 A VETCL EVERETTE FI VETERINARY FACILIT EVERETTE VET FACILITY (WA) EVERETTE US WA *EVERETT 98207 19 Y 0125 0125 WRMC N Y A
FROM 8600 W3U486 A VETCL EVERETTE FI VETERINARY FACILIT EVERETTE VET FACILITY (WA) EVERETTE US WA *EVERETTE 98207 19 Y 0125 0125 WRMC N Y A
TO 8613 W3U46M A VETCL CAMP PENDLETON VETERINARY FACI CAMP PENDLETON VET FACILITY (CA) CAMP PENDLETON US CA *CAMP PENDLETON 92055 19 Y 0131 0131 WRMC N Y A
FROM 8613 W3U46M A VETCL CAMP PENDLETON VETERINARY FACI CAMP PENDLETON VET FACILITY (CA) CAMP PENDLETON US CA *SANTA ANA 92055 19 Y 0131 0131 WRMC N Y A
TO 8614 W3U46M A *INACT EL TORO FI VETERINARY FACILITY EL TORO VET FACILITY SANTA ANA US CA SANTA ANA 92709 19 Y 0131 0131 WRMC N Y *I
FROM 8614 W3U46M A *VETCL EL TORO FI VETERINARY FACILITY EL TORO VET FACILITY SANTA ANA US CA SANTA ANA 92709 19 Y 0131 0131 WRMC N Y *A
TO 8617 W3U46R A VETCL POINT MAGU FI VETERINARY FACIL PT MAGU VET FACILITY POINT MAGU US CA *POINT MUGU NAWC 93042 19 Y 0131 0131 WRMC N Y A
FROM 8617 W3U46R A VETCL POINT MAGU FI VETERINARY FACIL PT MAGU VET FACILITY POINT MAGU US CA *POINT MAGU 93042 19 Y 0131 0131 WRMC N Y A
TO 8619 W3U46U A VETCL MOJAVE VETERINARY FACILITY MOJAVE VET FACILITY (CA) FORT IRWIN US CA *FORT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
FROM 8619 W3U46U A VETCL MOJAVE VETERINARY FACILITY MOJAVE VET FACILITY (CA) FORT IRWIN US CA *FT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 4
12/4/2011
201001 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 8620 W3U46U A VETCL FT IRWIN VETERINARY FACILITY FT IRWIN VET FACILITY (CA) FORT IRWIN US CA *FORT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
FROM 8620 W3U46U A VETCL FT IRWIN VETERINARY FACILITY FT IRWIN VET FACILITY (CA) FORT IRWIN US CA *FT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
TO 8622 W3U46X A VETCL EDWARDS AFB VETERINARY FACILIT EDWARDS AFB VET FACILITY (CA) EDWARDS AFB US CA *EDWARDS 93523 19 Y 0131 0131 WRMC N Y A
FROM 8622 W3U46X A VETCL EDWARDS AFB VETERINARY FACILIT EDWARDS AFB VET FACILITY (CA) EDWARDS AFB US CA *ROSAMOND 93523 19 Y 0131 0131 WRMC N Y A
TO 8623 W3U46X A VETCL CHINA LAKE FI VETERINARY FACIL CHINA LAKE VET FACILITY CHINA LAKE US CA *RIDGECREST 93555 19 Y 0131 0131 WRMC N Y A
FROM 8623 W3U46X A VETCL CHINA LAKE FI VETERINARY FACIL CHINA LAKE VET FACILITY CHINA LAKE US CA *CHINA LAKE 93555 19 Y 0131 0131 WRMC N Y A
TO 8626 W3U4A1 A VETCL PACIFIC REGIONAL VET CMD TAMC-PARVC HQ TRIPLER US HI *TRIPLER ARMY MEDICAL CENTER 96859 19 Y 0052 0052 PRMC N Y A
FROM 8626 W3U4A1 A VETCL PACIFIC REGIONAL VET CMD TAMC-PARVC HQ TRIPLER US HI *HONOLULU 96859 19 Y 0052 0052 PRMC N Y A
TO 8627 W3U4A2 A VETCL CENPAC DISTRICT VET CMD CENPAC DVC SHAFTER-CPDVC HQ FT SHAFTER US HI *TRIPLER ARMY MEDICAL CENTER 96859 19 Y 0052 0052 PRMC N Y A
FROM 8627 W3U4A2 A VETCL CENPAC DISTRICT VET CMD CENPAC DVC SHAFTER-CPDVC HQ FT SHAFTER US HI *HONOLULU 96859 19 Y 0052 0052 PRMC N Y A
TO 8628 W3U4A2 A VETCL FT SHAFTER VETERINARY FACILITY SHAFTER VET FACILITY (HI) FT SHAFTER US HI *TRIPLER ARMY MEDICAL CENTER 96859 19 Y 0052 0052 PRMC N Y A
FROM 8628 W3U4A2 A VETCL FT SHAFTER VETERINARY FACILITY SHAFTER VET FACILITY (HI) FT SHAFTER US HI *HONOLULU 96859 19 Y 0052 0052 PRMC N Y A
TO 8629 W3U4A2 A VETCL KANEOHE MCBH VETERINARY FACILI KANEOHE MCBH VET FACILITY (HI) HANEOHE US HI *M C B H KANEOHE BAY 96863 19 Y 0052 0052 PRMC N Y A
FROM 8629 W3U4A2 A VETCL KANEOHE MCBH VETERINARY FACILI KANEOHE MCBH VET FACILITY (HI) HANEOHE US HI *KANEOHE 96863 19 Y 0052 0052 PRMC N Y A
TO 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
FROM 8630 W3U4A2 A VETCL HICKAM AFB VETERINARY FACILITY HICKAM AFB VET FACILITY (HI) HICKAM AFB US HI *HONOLULU 96853 19 Y 0052 0052 PRMC N Y A
TO 8632 W3U4AG A *INACT HILO FI VETERINARY FACILITY HILO VET FACILITY HILO US HI HILO 96812 19 Y 0052 0052 PRMC N Y *I
FROM 8632 W3U4AG A *VETCL HILO FI VETERINARY FACILITY HILO VET FACILITY HILO US HI HILO 96812 19 Y 0052 0052 PRMC N Y *A
TO 8633 W3U4A2 A VETCL SCHOFIELD BARRACKS VETERINARY SCHOFIELD BKS VET FACILITY (HI) SCHOFIELD BARRACKS US HI *WAHIAWA 96786 19 Y 0052 0052 PRMC N Y A
FROM 8633 W3U4A2 A VETCL SCHOFIELD BARRACKS VETERINARY SCHOFIELD BKS VET FACILITY (HI) SCHOFIELD BARRACKS US HI *SCHOFIELD BARRACKS 96786 19 Y 0052 0052 PRMC N Y A
TO 8634 W3U4A2 A VETCL BARBERS POINT VETERINARY FACIL BARBERS PT VET FACILITY BARBERS POINT US HI *KAPOLEI *96707 19 Y 0052 0052 PRMC N Y A
FROM 8634 W3U4A2 A VETCL BARBERS POINT VETERINARY FACIL BARBERS PT VET FACILITY BARBERS POINT US HI *BARBERS POINT *96862 19 Y 0052 0052 PRMC N Y A
TO 8652 W3U49U A VETCL MISAWA AFB VETERINARY FACILITY MISAWA AFB VET FACILITY MISAWA JA MISAWA CITY *96319 * 14 N 0610 0610 PRMC N Y A
FROM 8652 W3U49U A VETCL MISAWA AFB VETERINARY FACILITY MISAWA AFB VET FACILITY MISAWA JA MISAWA CITY *93619 *5019 14 N 0610 0610 PRMC N Y A
TO 8655 W3U49X A VETCL KADENA VETERINARY FACILITY KADENA VET FACILITY KADENA JA KADENA *96368 * 14 N 0610 0610 PRMC N Y A
FROM 8655 W3U49X A VETCL KADENA VETERINARY FACILITY KADENA VET FACILITY KADENA JA KADENA *98778 *5142 14 N 0610 0610 PRMC N Y A
TO 8657 W3U49U A VETCL SASEBO VETERINARY FACILITY SASEBO VET FACILITY SASEBO JA SASEBO *96322 * 14 N 0610 0610 PRMC N Y A
FROM 8657 W3U49U A VETCL SASEBO VETERINARY FACILITY SASEBO VET FACILITY SASEBO JA SASEBO *96866 *0085 14 N 0610 0610 PRMC N Y A
TO 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
FROM 8662 W3U4GA A VETCL RANDOLPH AFB VETERINARY FACILI RANDOLPH VET FACILITY RANDOLPH AFB US TX *SAN ANTONIO 78150 18 Y 0109 0109 SRMC N Y A
TO 8671 W3U49T A VETCL INGLESIDE SUPPLY POINT VET FAC INGLESIDE SUPPLY POINT VET FACILITY (TX) INGLESIDE US TX INGLESIDE *78362 18 Y 0109 0109 SRMC N Y A
FROM 8671 W3U49T A VETCL INGLESIDE SUPPLY POINT VET FAC INGLESIDE SUPPLY POINT VET FACILITY (TX) INGLESIDE US TX INGLESIDE *78363 18 Y 0109 0109 SRMC N Y A
TO 8681 W3U4EG A VETCL BARKSDALE VETERINARY FACILITY BARKSDALE VET FACILITY (LA) BARKSDALE AFB US LA *BARKSDALE AFB 71110 18 Y 0064 0064 SRMC N Y A
FROM 8681 W3U4EG A VETCL BARKSDALE VETERINARY FACILITY BARKSDALE VET FACILITY (LA) BARKSDALE AFB US LA *SHREVEPORT 71110 18 Y 0064 0064 SRMC N Y A
TO 8688 W3U401 A VETCL DENVER VETERINARY FACILITY DENVER VET FACILITY (CO) DENVER US CO *AURORA 80045 19 Y 0032 0032 WRMC N Y A
FROM 8688 W3U401 A VETCL DENVER VETERINARY FACILITY DENVER VET FACILITY (CO) DENVER US CO *DENVER 80045 19 Y 0032 0032 WRMC N Y A
TO 8690 W3U408 A VETCL DUGWAY PROVING GROUND VET FACI DUGWAY PG VET FACILITY (UT) DUGWAY PG US UT *DUGWAY 84022 19 Y 0008 0008 WRMC N Y A
FROM 8690 W3U408 A VETCL DUGWAY PROVING GROUND VET FACI DUGWAY PG VET FACILITY (UT) DUGWAY PG US UT *DUGWAY PG 84022 19 Y 0008 0008 WRMC N Y A
TO 8694 W3U414 A VETCL AIR FORCE ACAD VETERINARY FACI AIR FORCE ACADEMY VET FACILITY (CO) USAF ACADEMY US CO *U S A F ACADEMY 80840 19 Y 0032 0032 WRMC N Y A
FROM 8694 W3U414 A VETCL AIR FORCE ACAD VETERINARY FACI AIR FORCE ACADEMY VET FACILITY (CO) USAF ACADEMY US CO *COLORADO SPRINGS 80840 19 Y 0032 0032 WRMC N Y A
TO 8695 W3U49Z A VETCL ELLSWORTH AFB VETERINARY FACIL ELLSWORTH AFB VET FACILITY (SD) ELLSWORTH AFB US SD *ELLSWORTH AFB 57706 19 Y 0058 0058 WRMC N Y A
FROM 8695 W3U49Z A VETCL ELLSWORTH AFB VETERINARY FACIL ELLSWORTH AFB VET FACILITY (SD) ELLSWORTH AFB US SD *RAPID CITY 57706 19 Y 0058 0058 WRMC N Y A
TO 8698 W3U45F A VETCL WHITE SANDS VETERINARY FACILIT WHITE SANDS VET FACILITY WHITE SANDS US NM *WHITE SANDS MISSILE RANGE 88002 19 Y 0108 0108 WRMC N Y A
FROM 8698 W3U45F A VETCL WHITE SANDS VETERINARY FACILIT WHITE SANDS VET FACILITY WHITE SANDS US NM *WHITE SANDS 88002 19 Y 0108 0108 WRMC N Y A
TO 8699 W3U45H A VETCL HOLLOMAN AFB VETERINARY FACILI HOLLOMAN VET FACILITY (NM) HOLLMAN AFB US NM *HOLLOMAN AIR FORCE BASE 88330 19 Y 0108 0108 WRMC N Y A
FROM 8699 W3U45H A VETCL HOLLOMAN AFB VETERINARY FACILI HOLLOMAN VET FACILITY (NM) HOLLMAN AFB US NM *ALAMOGORDA 88330 19 Y 0108 0108 WRMC N Y A
TO 8700 W3U45J A VETCL KIRTLAND AFB VETERINARY FACILI KIRTLAND VET FACILITY (NM) KIRTLAND AFB US NM *ALBUQUERQUE 87117 19 Y 0108 0108 WRMC N Y A
FROM 8700 W3U45J A VETCL KIRTLAND AFB VETERINARY FACILI KIRTLAND VET FACILITY (NM) KIRTLAND AFB US NM *ALBUQUERGUE 87117 19 Y 0108 0108 WRMC N Y A
TO 8709 W3U419 A VETCL WHITEMAN AFB VETERINARY FACILI WHITEMAN AFB VET FACILITY (MO) WHITEMAN AFB US MO *WHITEMAN AIR FORCE BASE 65305 19 Y 0075 0075 WRMC N Y A
FROM 8709 W3U419 A VETCL WHITEMAN AFB VETERINARY FACILI WHITEMAN AFB VET FACILITY (MO) WHITEMAN AFB US MO *KNOB NOSTER 65305 19 Y 0075 0075 WRMC N Y A
TO 8718 W3U4DA A VETCL LITTLE ROCK VETERINARY FACILIT LITTLE ROCK VET FACILITY (AR) LITTLE ROCK US AR *LITTLE ROCK AIR FORCE BASE 72099 18 Y 0060 0060 SRMC N Y A
FROM 8718 W3U4DA A VETCL LITTLE ROCK VETERINARY FACILIT LITTLE ROCK VET FACILITY (AR) LITTLE ROCK US AR *LITTLE ROCK 72099 18 Y 0060 0060 SRMC N Y A
TO 8719 W3U47H A VETCL REDSTONE VETERINARY FACILITY REDSTONE VET FACILITY (AL) REDSTONE ARSENAL US AL *HUNTSVILLE 35809 18 Y 0003 0003 SRMC N Y A
FROM 8719 W3U47H A VETCL REDSTONE VETERINARY FACILITY REDSTONE VET FACILITY (AL) REDSTONE ARSENAL US AL *REDSTONE ARSENAL 35809 18 Y 0003 0003 SRMC N Y A
TO 8723 W3U47P A VETCL MERIDAN FI VETERINARY FACILITY MERIDAN VET FACILITY (MS) MERIDAN US MS *MERIDIAN 39309 18 Y 0003 0003 SRMC N Y A
FROM 8723 W3U47P A VETCL MERIDAN FI VETERINARY FACILITY MERIDAN VET FACILITY (MS) MERIDAN US MS *MERIDAN 39309 18 Y 0003 0003 SRMC N Y A
TO 8727 W3U47V A VETCL ELGIN AFB VETERINARY FACILITY ELGIN AFB VET FACILITY (FL) ELGIN AFB US FL *EGLIN AFB 32542 18 Y 0003 0003 SRMC N Y A
FROM 8727 W3U47V A VETCL ELGIN AFB VETERINARY FACILITY ELGIN AFB VET FACILITY (FL) ELGIN AFB US FL *VALPARAISO 32542 18 Y 0003 0003 SRMC N Y A
TO 8735 W3U48E A VETCL FORT JACKSON VETERINARY FACILI FT JACKSON VET FACILITY (SC) FORT JACKSON US SC *COLUMBIA 29207 18 Y 0060 0060 SRMC N Y A
FROM 8735 W3U48E A VETCL FORT JACKSON VETERINARY FACILI FT JACKSON VET FACILITY (SC) FORT JACKSON US SC *FORT JACKSON 29207 18 Y 0060 0060 SRMC N Y A
TO 8737 W3U4 A VETCL SHAW AFB VETERINARY FACILITY SHAW AFB VET FACILITY (SC) SHAW AFB US SC *SHAW A F B 29152 18 Y 0060 0060 SRMC N Y A
FROM 8737 W3U4 A VETCL SHAW AFB VETERINARY FACILITY SHAW AFB VET FACILITY (SC) SHAW AFB US SC *SUMTER 29152 18 Y 0060 0060 SRMC N Y A
TO 8739 W3U48N A VETCL ROBINS AFB VETERINARY FACILITY ROBINS AFB VET FACILITY (GA) ROBINS AFB US GA *WARNER ROBINS 31098 18 Y 0003 0003 SRMC N Y A
FROM 8739 W3U48N A VETCL ROBINS AFB VETERINARY FACILITY ROBINS AFB VET FACILITY (GA) ROBINS AFB US GA *MACON 31098 18 Y 0003 0003 SRMC N Y A
TO 8740 W3U48P A VETCL ATLANTA VETERINARY FACILITY ATLANTA VET FACILITY (GA) ATLANTA US GA *MARIETTA 30060 18 Y 0060 0060 SRMC N Y A
FROM 8740 W3U48P A VETCL ATLANTA VETERINARY FACILITY ATLANTA VET FACILITY (GA) ATLANTA US GA *ATLANTA 30060 18 Y 0060 0060 SRMC N Y A
TO 8746 W3U48Y A VETCL MAYPORT FI VETERINARY FACILITY MAYPORT VET FACILITY (FL) MAYPORT US FL *JACKSONVILLE 32228 18 Y 0049 0049 SRMC N Y A
FROM 8746 W3U48Y A VETCL MAYPORT FI VETERINARY FACILITY MAYPORT VET FACILITY (FL) MAYPORT US FL *MAYPORT 32228 18 Y 0049 0049 SRMC N Y A
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 5
12/4/2011
201001 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 8750 W3U49E A VETCL PATRICK VETERINARY FACILITY PATRICK VET FACILITY (FL) PATRICK AFB US FL *PATRICK AFB 32925 18 Y 0049 0049 SRMC N Y A
FROM 8750 W3U49E A VETCL PATRICK VETERINARY FACILITY PATRICK VET FACILITY (FL) PATRICK AFB US FL *COCOA BEACH 32925 18 Y 0049 0049 SRMC N Y A
TO 8755 W3U46U A VETCL MACARTHUR AFB VTF-FT IRWIN MACARTHUR AFB FT IRWIN US CA *FORT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
FROM 8755 W3U46U A VETCL MACARTHUR AFB VTF-FT IRWIN MACARTHUR AFB FT IRWIN US CA *FT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
TO 8756 W3U46U A VETCL EL CENTRO VTF-FT IRWIN EL CENTRO FT IRWIN US CA *FORT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
FROM 8756 W3U46U A VETCL EL CENTRO VTF-FT IRWIN EL CENTRO FT IRWIN US CA *FT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
TO 8757 W3U46U A VETCL PT LOMA VTF-FT IRWIN PT LOMA FT IRWIN US CA *FORT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
FROM 8757 W3U46U A VETCL PT LOMA VTF-FT IRWIN PT LOMA FT IRWIN US CA *FT IRWIN 92310 19 Y 0131 0131 WRMC N Y A
TO 8758 W3U4CK A VETCL GOODFELLOW AFB VTF GOODFELLOW AFB VET FACILITY (TX) GOODFELLOW AFB US TX GOODFELLOW AFB *76908 18 Y 0110 0110 SRMC N Y A
FROM 8758 W3U4CK A VETCL GOODFELLOW AFB VTF GOODFELLOW AFB VET FACILITY (TX) GOODFELLOW AFB US TX GOODFELLOW AFB *76544 18 Y 0110 0110 SRMC N Y A
TO 8759 W3U4EA A VETCL ALTUS AFB VTF ALTUS AFB VET FACILITY (OK) ALTUS AFB US OK ALTUS AFB *73523 18 Y 0098 0098 SRMC N Y A
FROM 8759 W3U4EA A VETCL ALTUS AFB VTF ALTUS AFB VET FACILITY (OK) ALTUS AFB US OK ALTUS AFB *73503 18 Y 0098 0098 SRMC N Y A
TO 8760 W3U4EA A VETCL VANCE AFB VTF VANCE AFB VET FACILITY (OK) VANCE AFB US OK *ENID *73705 18 Y 0098 0098 SRMC N Y A
FROM 8760 W3U4EA A VETCL VANCE AFB VTF VANCE AFB VET FACILITY (OK) VANCE AFB US OK *VANCE AFB *73503 18 Y 0098 0098 SRMC N Y A
TO 8761 W3U48Q A VETCL MOODY AFB VTF MOODY AFB VET FACILITY MOODY AFB US GA MOODY AFB *31699 18 Y 0003 0003 SRMC N Y A
FROM 8761 W3U48Q A VETCL MOODY AFB VTF MOODY AFB VET FACILITY MOODY AFB US GA MOODY AFB *31314 18 Y 0003 0003 SRMC N Y A
TO 8762 W3U48V A *INACT HOMESTEAD ANG VTF HOMESTEAD ANG VET FACILITY HOMESTEAD AFB US FL HOMESTEAD ANG 32212 18 Y 0049 0049 SRMC N Y *I
FROM 8762 W3U48V A *VETCL HOMESTEAD ANG VTF HOMESTEAD ANG VET FACILITY HOMESTEAD AFB US FL HOMESTEAD ANG 32212 18 Y 0049 0049 SRMC N Y *A
NEW 5287 W47AAA A ADMIN USARC SURGEONS OFF-REMOTE ACC USARC SURGEONS OFFICE-REMOTE ACCESS REDSTONE ARSENAL US AL HUNTSVILLE 35809 18 Y 5287 N Y A N
NEW 5288 W47AAA A ADMIN USAR 63rd RSC-REMOTE ACCESS USAR 63rd REG SUPPORT CMD-REMOTE ACCESS REDSTONE ARSENAL US AL HUNTSVILLE 35809 18 Y 5287 N Y A N
NEW 5289 W47AAA A ADMIN USAR 88th RSC-REMOTE ACCESS USAR 88th REG SUPPORT CMD-REMOTE ACCESS REDSTONE ARSENAL US AL HUNTSVILLE 35809 18 Y 5287 N Y A N
NEW 5290 W47AAA A ADMIN USAR 81st RSC-REMOTE ACCESS USAR 81st REG SUPPORT CMD-REMOTE ACCESS REDSTONE ARSENAL US AL HUNTSVILLE 35809 18 Y 5287 N Y A N
NEW 5291 W47AAA A ADMIN USAR 99th RSC-REMOTE ACCESS USAR 99th REG SUPPORT CMD-REMOTE ACCESS REDSTONE ARSENAL US AL HUNTSVILLE 35809 18 Y 5287 N Y A N
NEW 5452 A HOSP ARMY-HAWAII MED CEN WEST(CIV) ARMY-HAWAII MEDICAL CENTER WEST (CIVILIAN) ARMY-HAWAII MEDICAL CEN WEST (CIV) US HI EWA BEACH 96706 3609 19 Y 0052 0052 PRMC N N B
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 6
12/4/2011
201001 DMIS ID Table Change Report
Navy
Authorized Branch of
Facility Facility Facility Facility 5- Facility 4- Health US DMIS Service Facility TRICARE Service/
DMIS MEPRS 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 Unit 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 0277 39171 N *INACT NBHC MARIETTA NBHC MARIETTA ATLANTA US GA ATLANTA 30060 18 Y 0039 0039 NAVMED_E Y Y *I Y 1487753166
FROM 0277 39171 N *CLINIC NBHC MARIETTA NBHC MARIETTA ATLANTA US GA ATLANTA 30060 18 Y 0039 0039 NAVMED_E Y Y *N Y 1487753166
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 7
12/4/2011
201001 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
TO 0062 2252 FFDPR0 F CLINIC 2nd MED GRP-BARKSDALE 2nd MEDICAL GROUP BARKSDALE AFB US LA *BARKSDALE AFB 71110 18 Y 0062 0062 *AFGSC Y Y F Y 1205800109 261QM1100X
FROM 0062 2252 FFDPR0 F CLINIC 2nd MED GRP-BARKSDALE 2nd MEDICAL GROUP BARKSDALE AFB US LA *SHREVEPORT 71110 18 Y 0062 0062 *ACC Y Y F Y 1205800109 261QM1100X
TO 0076 2954 FFDNW0 F CLINIC 509th MED GRP-WHITEMAN 509th MEDICAL GROUP WHITEMAN AFB US MO *WHITEMAN AIR FORCE BASE 65305 19 Y 0076 0076 *AFGSC Y Y F Y 1033196480 261QM1100X
FROM 0076 2954 FFDNW0 F CLINIC 509th MED GRP-WHITEMAN 509th MEDICAL GROUP WHITEMAN AFB US MO *KNOB NOSTER 65305 19 Y 0076 0076 *ACC Y Y F Y 1033196480 261QM1100X
TO 0077 3051 FFDPQ0 F CLINIC 341st MED GRP-MALMSTROM 341st MEDICAL GROUP MALMSTROM AFB US MT GREAT FALLS 59402 19 Y 0077 0077 *AFGSC Y Y F Y 1285691329 261QM1100X
FROM 0077 3051 FFDPQ0 F CLINIC 341st MED GRP-MALMSTROM 341st MEDICAL GROUP MALMSTROM AFB US MT GREAT FALLS 59402 19 Y 0077 0077 *AFSPC Y Y F Y 1285691329 261QM1100X
TO 0094 3852 FFDPZ0 F CLINIC 5th MED GRP-MINOT 5th MEDICAL GROUP MINOT AFB US ND MINOT 58705 19 Y 0094 0094 *AFGSC Y Y F Y 1427031673 261QM1100X
FROM 0094 3852 FFDPZ0 F CLINIC 5th MED GRP-MINOT 5th MEDICAL GROUP MINOT AFB US ND MINOT 58705 19 Y 0094 0094 *ACC Y Y F Y 1427031673 261QM1100X
TO 0129 5652 FFDNO0 F CLINIC 90th MED GRP-F.E. WARREN 90th MEDICAL GROUP F.E. WARREN AFB US WY CHEYENNE 82005 19 Y 0129 0129 *AFGSC Y Y F Y 1609859826 261QM1100X
FROM 0129 5652 FFDNO0 F CLINIC 90th MED GRP-F.E. WARREN 90th MEDICAL GROUP F.E. WARREN AFB US WY CHEYENNE 82005 19 Y 0129 0129 *AFSPC Y Y F Y 1609859826 261QM1100X
TO 1490 FFLK50 F CLINIC 917TH MEDICAL SQUADRON 917TH MEDICAL SQUADRON 917TH MEDICAL SQUADRON US LA BARKSDALE AFB 71110 2425 18 Y 1490 *AFGSC N Y F
FROM 1490 FFLK50 F CLINIC 917TH MEDICAL SQUADRON 917TH MEDICAL SQUADRON 917TH MEDICAL SQUADRON US LA BARKSDALE AFB 71110 2425 18 Y 1490 *ACC N Y F
TO 1748 F DENTAL 341 DS/SGD-MALMSTROM 341 DS/SGD MALMSTROM AFB US MT GREAT FALLS 59402 19 Y 0077 0077 *AFGSC N Y F
FROM 1748 F DENTAL 341 DS/SGD-MALMSTROM 341 DS/SGD MALMSTROM AFB US MT GREAT FALLS 59402 19 Y 0077 0077 *AFSPC N Y F
TO 1759 F DENTAL 5 DENTAL SQ/SGD-MINOT 5 DENTAL SQ/SGD MINOT AFB US ND MINOT 58705 19 Y 0094 0094 *AFGSC N Y F
FROM 1759 F DENTAL 5 DENTAL SQ/SGD-MINOT 5 DENTAL SQ/SGD MINOT AFB US ND MINOT 58705 19 Y 0094 0094 *ACC N Y F
TO 1763 F DENTAL 2ND DENTAL SQ/SGD-BARKSDALE 2ND DENTAL SQ/SGD BARKSDALE AFB US LA *BARKSDALE AFB 71110 18 Y 0062 0062 *AFGSC N Y F
FROM 1763 F DENTAL 2ND DENTAL SQ/SGD-BARKSDALE 2ND DENTAL SQ/SGD BARKSDALE AFB US LA *SHREVEPORT 71110 18 Y 0062 0062 *ACC N Y F
TO 7252 F DENTAL 90 DS/SGD-FE WARREN 90 DS/SGD FE WARREN AFB US WY CHEYENNE 82005 19 Y 0129 0129 *AFGSC N Y F
FROM 7252 F DENTAL 90 DS/SGD-FE WARREN 90 DS/SGD FE WARREN AFB US WY CHEYENNE 82005 19 Y 0129 0129 *AFSPC N Y F
TO 7276 F DENTAL 509 AEROMEDICAL DEN-WHITEMAN 509 AEROMEDICAL DENTAL SQ/SGD WHITEMAN AFB US MO *WHITEMAN AIR FORCE BASE 65305 19 Y 0076 0076 *AFGSC N Y F
FROM 7276 F DENTAL 509 AEROMEDICAL DEN-WHITEMAN 509 AEROMEDICAL DENTAL SQ/SGD WHITEMAN AFB US MO *KNOB NOSTER 65305 19 Y 0076 0076 *ACC N Y F
Note: Asterisks indicate cells that were changed. Records for new DMIS IDs are listed at the end of this report. 8
12/4/2011
201001 DMIS ID Table Change Report
Other
Facility Facility US Authorized Branch of
Facility Facility Facility Facility 5-Digit 4-Digit Health Flag DMIS MEPRS Service Facility TRICARE Service/
DMIS DCW MEPRS Service Type Country State ZIP ZIP Service Cod 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 e 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. 9
12/4/2011