USA MEDDAC, RWBAHC (NPI# 1124486840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124486840 |
| Entity Type | Organization |
| Organization Name | USA MEDDAC, RWBAHC |
| Practice Address |
2240 E Winrow Ave Usa Meddac, Rwbahc Ft. Huachuca AZ 85613 |
| Mailing Address |
2240 Winrow Ave Ft.huachuca AZ 85613-7079 |
| Practice Telephone | 5205339034 |
| Practice Fax Number | 5205335148 |
| Mailing Telephone | 5205339034 |
| Mailing Fax Number | 5205335148 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | MS. CAROL JEAN PHILLIPS (LPN) |
| Authorized Official Telephone | 5205339034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
LP 00041579 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356700801 | Usa Meddac, Rwbahc | Clinic/Center | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-02-12 |
| Street Address |
2240 E WINROW AVE USA MEDDAC, RWBAHC |
| City | FT. HUACHUCA |
| State | AZ |
| Zip Code | 85613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| Find all providers in zip 85613 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | FT. HUACHUCA |
| Zip Code | 85613 |
Please comment or provide details below to improve the information on USA MEDDAC, RWBAHC.
| 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.