USA MEDDAC, RWBAHC (NPI# 1356700801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356700801 |
| Entity Type | Organization |
| Organization Name | USA MEDDAC, RWBAHC |
| Practice Address |
2240 Winrow Ave Fort Huachuca AZ 85613 |
| Practice Telephone | 5205339034 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | CRYSTAL QUINTANA (LICENSED PRACTICAL NURSE) |
| Authorized Official Telephone | 5205339034 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
PN5193793 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124486840 | Usa Meddac, Rwbahc | Clinic/Center | 2240 E Winrow Ave, Usa Meddac, Rwbahc, Ft. Huachuca, AZ 85613 | 2016-02-09 |
| Street Address |
2240 WINROW AVE |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568471431 | Paul Francis Llarue | Nurse Practitioner | 2240 Winrow Ave, Us Meddac, Rwbahc, Fort Huachuca, AZ 85613-7079 | 2006-08-07 |
| 1407376817 | Yolanda Ezeugwu | Social Worker | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2017-06-27 |
| 1124550157 | Diana Wakelyn | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2017-03-29 |
| 1093258741 | Nancylee Ramsey | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-11-29 |
| 1164974879 | Terra Whipple | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-28 |
| 1669924445 | Mary Jimenez | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac,rwbahc, Fort Huachuca, AZ 85613 | 2016-10-27 |
| 1033660733 | Kelly Thomas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-18 |
| 1417404484 | Matthew Marsh | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-09-07 |
| 1184170466 | Hannah Raya | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-08-28 |
| 1508227273 | Michael Patrick Nolan | Pharmacist | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-09 |
| Find all providers in the same location | ||||
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1114561107 | Vista Mobile Health, LLC | Clinic/Center | 10752 N 89th Pl # 104a-1, Scottsdale, AZ 85260-6730 | 2019-11-01 |
| 1477104362 | Modern Recovery, LLC | Clinic/Center | 4820 S Mill Ave Ste 203, Tempe, AZ 85282-7734 | 2019-09-23 |
| 1063068898 | Ambest Family Health Clinics, Pllc | Clinic/Center | 4841 S Mesa Villas Dr Apt 3, Fort Mohave, AZ 86426-6436 | 2019-08-16 |
| 1073178133 | Tammy Lynn Undiemi | Clinic/Center | 27575 N 172nd Ln, Surprise, AZ 85387-1126 | 2019-05-04 |
| 1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT 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.