OrganizationActive
Kimbrough Acc Military Mtf
NPI 1417163114 · Military/U.S. Coast Guard Outpatient Clinic/Center · Annville, PA
Provider details
- NPI number
- 1417163114
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kimbrough Acc Military Mtf
- Organization subpart
- Yes
- Authorized official
- Terri Kimbrow, Ubo Manager(301) 677-8512
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1999 Fisher Ave
Fort Indiantown Gap
Annville, PA 17003
Phone: (717) 245-4018
Approximate (ZIP-level) locationGet directions
Mailing address
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Other names (DBA / former)
- Doing business as
- Ahc Indiantown Gap
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2015-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.