WILLIAM BEAUMONT ARMY MEDICAL CENTER


Address: 1363 Aberdeen Road, White Sands Missile Range, NM 88002-5520
Phone: 5756743564

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).

Provider Overview

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

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 2146594 01

Other Provider/Organization Names

Other Name Type Code
DoD WHITE SANDS MR ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1363 ABERDEEN ROAD
City WHITE SANDS MISSILE RANGE
State NM
Zip Code 88002-5520

Providers in the same zip code

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

Providers in the same city

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 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 state

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
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Competitor

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City WHITE SANDS MISSILE RANGE
Zip Code 88002

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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.

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