WILLIAM BEAUMONT ARMY MEDICAL CENTER (NPI# 1952716896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952716896 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Other Organization Name | DOD WHITE SANDS MR EPHCY |
| Practice Address |
1363 Aberdeen Road White Sands Missile Range NM 88002-5520 |
| Mailing Address |
William Beaumont Army Medical Center C/o Treasurers Office 5005 N. Piedras St. El Paso TX 79920-5001 |
| Practice Telephone | 5756743564 |
| Practice Fax Number | 5756743620 |
| Mailing Telephone | 5756743564 |
| Mailing Fax Number | 5756743620 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146594 | 01 |
| Other Name | Type Code |
|---|---|
| DoD WHITE SANDS MR ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1629322144 | William Beaumont Army Medical Center | Clinic/Center | Torch St Bldg 21227, Dental Clinic, Fort Bliss, TX 79916 | 2012-11-06 |
| 1366796880 | William Beaumont Army Medical Center | Clinic/Center | Bldg 21227 Torch Street, Fort Bliss, TX 79916 | 2012-11-06 |
| 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 |
| 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 |
| 1316253297 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Hawk Rd, Rm 9503-11, Chaparrel, NM 88021 | 2010-08-30 |
| 1649476474 | William Beaumont Army Medical Center | Clinic/Center | Bldg 11281, Biggs Dental Clinic, Ft Bliss, TX 79920 | 2007-06-27 |
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| 1467667287 | William Beaumont Army Medical Center | Clinic/Center | Ricker Road Bldg 2496, Sfmc, Fort Bliss, TX 79920 | 2007-05-14 |
| 1669687489 | William Beaumont Army Medical Center | Clinic/Center | Ssg Sims Street Bldg 11335, Mendoza Soldier Family Care Clinic, El Paso, TX 79920 | 2007-05-14 |
| Street Address |
1363 ABERDEEN ROAD |
| City | WHITE SANDS MISSILE RANGE |
| State | NM |
| Zip Code | 88002-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440510 | Speak Therapy Group LLC | Speech-Language Pathologist | 1300 Lopez Rd, Chamberino, NM 88002 | 2015-02-26 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1740548379 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 260, Main Exchange, White Sands Missle Range, NM 88002 | 2012-05-02 |
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| 1780783134 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Aberdeen Ave, Bldg 1363, White Sand Missile Range, NM 88002 | 2006-09-22 |
| 1639382047 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, White Sands Missile Range, NM 88002-1197 | 2007-05-08 |
| 1952546970 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, Bldg 2 Tmc Mcgregor Range, White Sands Missile Range, NM 88002-1197 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1639382047 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, White Sands Missile Range, NM 88002-1197 | 2007-05-08 |
| 1518017755 | Michael Beckler | Social Worker | Mcafee U. S. Army Health Clinic, White Sands Missile Range, NM 88011 | 2007-01-11 |
| 1952546970 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, Bldg 2 Tmc Mcgregor Range, White Sands Missile Range, NM 88002-1197 | 2008-12-04 |
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316253297 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Hawk Rd, Rm 9503-11, Chaparrel, NM 88021 | 2010-08-30 |
| 1780783134 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Aberdeen Ave, Bldg 1363, White Sand Missile Range, NM 88002 | 2006-09-22 |
| 1962501312 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | Gibson Blvd Bldg 20167, Albuquerque, NM 87108 | 2006-09-22 |
| 1871692228 | 27th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103-5009 | 2006-09-22 |
| 1417356072 | 27th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2014-08-20 |
| 1356755185 | 49th Medical Group | Military/U.S. Coast Guard Pharmacy | 280 1st St Bldg 15, Holloman Afb, NM 88330-8273 | 2014-06-19 |
| 1740694553 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | 1501 San Pedro Dr Se Bldg 47, Albuquerque, NM 87108-5153 | 2014-06-19 |
| 1023172772 | Cannon Refill Phcy | Military/U.S. Coast Guard Pharmacy | 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103 | 2006-12-20 |
| 1073610820 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | 2050a 2nd St Se, Kirtland Afb, NM 87117-5524 | 2006-09-20 |
| 1982701736 | 49th Medical Group | Military/U.S. Coast Guard Pharmacy | 280 1st St, Holloman Afb, NM 88330-8273 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | WHITE SANDS MISSILE RANGE |
| Zip Code | 88002 |
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| 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.