WILFORD HALL MEDICAL CENTER


Address: 2275 Reese St, Lackland Afb, TX 78236-1245
Phone: 2102928410

WILFORD HALL MEDICAL CENTER (NPI# 1063829414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063829414
Entity Type Organization
Organization Name WILFORD HALL MEDICAL CENTER
Other Organization Name DOD LACKLAND EPHCY
Practice Address 2275 Reese St
Lackland Afb
TX 78236-1245
Mailing Address Wilford Hall Medical Center C/o 59 Mdw Cashier Cage
2200 Berquist Dr. Ste. 1
Lackland Afb
TX 78236
Practice Telephone 2102928410
Practice Fax Number 2102927207
Mailing Telephone 2102928410
Mailing Fax Number 2102927207
Enumeration Date 2014-07-17
Last Update Date 2016-03-25
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146874 01

Other Provider/Organization Names

Other Name Type Code
DoD LACKLAND ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184122749 Wilford Hall Medical Center Pharmacy 25615 North 281, Suite 215, San Antonio, TX 78258 2018-01-30
1508364258 Wilford Hall Medical Center Military/U.S. Coast Guard Pharmacy 25615 Us Highway 281 N Ste 215, San Antonio, TX 78258-7135 2018-01-29
1144323650 Wilford Hall Medical Center Military Hospital 18200 Blanco Spgs Apt 112, San Antonio, TX 78258-4562 2006-09-07
1699269852 Wilford Hall Medical Center Military/U.S. Coast Guard Pharmacy 1940 Carswell Ave, Bldg 7002, Lackland, TX 78236 2018-06-20
1467507947 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 2007-01-24
1760416614 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 2006-07-10
1912968595 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Suite 1 Attn: Credentials Cmc, Lackland A F B, TX 78236-9907 2006-03-31
1861467193 Wilford Hall Medical Center Military Hospital 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236-9907 2006-02-21
1598743825 Wilford Hall Medical Center General Acute Care Hospital 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 2006-01-06
1275511776 Wilford Hall Medical Center Military/U.S. Coast Guard Pharmacy 2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B, TX 78236-9907 2006-01-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WILFORD HALL MEDICAL CENTER 59 Medical Wing, San Antonio, TX 78236

Office Location

Street Address 2275 REESE ST
City LACKLAND AFB
State TX
Zip Code 78236-1245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114026358 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy 2275 Reese St, Bldg 8410, Lackland Afb, TX 78236-1245 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
Find all providers in zip 78236

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790884856 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy Bldg 6612, 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-5300 2006-09-22
1114026358 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy 2275 Reese St, Bldg 8410, Lackland Afb, TX 78236-1245 2006-09-22
1295834448 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy 2200 Bergquist Dr Ste 1, Bldg 4450, Lackland Afb, TX 78236-9908 2006-09-22
1316046550 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy 2200 Bergquist Dr Ste 1, Bldg 4450, Lackland Afb, TX 78236-9908 2006-09-22
1225137342 Willford Hall Medical Ctr Military/U.S. Coast Guard Pharmacy 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710532510 Brooke Army Medical Center Military/U.S. Coast Guard Pharmacy 7800 W Ih 10 Ste 235, San Antonio, TX 78230-4768 2019-08-08
1508364258 Wilford Hall Medical Center Military/U.S. Coast Guard Pharmacy 25615 Us Highway 281 N Ste 215, San Antonio, TX 78258-7135 2018-01-29
1831502590 Brooke Army Medical Center Military/U.S. Coast Guard Pharmacy 2401 Scott Rd, Brooke Army Medical Center, Fort Sam Houston, TX 78234 2014-06-10
1124431317 Carl R. Darnall Army Medical Center Military/U.S. Coast Guard Pharmacy 4250 Clear Creek Rd, Room 406, Fort Hood, TX 76544-5095 2014-06-05
1134479413 William Beaumont Army Medical Center Military/U.S. Coast Guard Pharmacy Torch St Rm C101, Bldg 21227, Ft Bliss, TX 79916 2012-09-14
1053618546 Brooke Army Medical Center Military/U.S. Coast Guard Pharmacy 6501 Fm 3009, Suite 210, Schertz, TX 78154 2011-02-17
1740580125 Carl R Darnall Army Medical Center Military/U.S. Coast Guard Pharmacy 458 W Highway 190, Town Square Shopping Center, Copperas Cove, TX 76522-3904 2010-11-01
1477853851 Carl R Darnall Army Medical Center Military/U.S. Coast Guard Pharmacy Market Heights Shopping Center 201 E., Central Texas Expressway, Harker Heights, TX 76548 2010-11-01
1891003000 Carl R Darnall Amry Medical Center Military/U.S. Coast Guard Pharmacy 2245 761st Tank Bn, Bldg 2245, Fort Hood, TX 76544 2010-09-22
1962718726 William Beaumont Army Medical Center Military/U.S. Coast Guard Pharmacy Haan Rd, Ste A-11 Bldg 1611, Ft Bliss, TX 79916 2010-08-31
Find all providers with the same taxonomy

Competitor

Search similar providers

City LACKLAND AFB
Zip Code 78236

Improve Information

Please comment or provide details below to improve the information on WILFORD HALL MEDICAL CENTER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches