USA MEDDAC RWBAHC NPI 1124486840

NPI Information

NPI: 1124486840
Provider Name: USA MEDDAC, RWBAHC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2240 E WINROW AVE
USA MEDDAC, RWBAHC
FT. HUACHUCA, AZ
ZIP 85613
Phone: (520) 533-9034
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USA MEDDAC, RWBAHC is a primary care clinic center in Ft. Huachuca, AZ. USA MEDDAC, RWBAHC NPI is 1124486840. The provider is registered as an organization entity type.

The provider's business location address is:

2240 E WINROW AVE
USA MEDDAC, RWBAHC
FT. HUACHUCA, AZ
ZIP 85613
Phone: (520) 533-9034
Fax: (520) 533-5148

The provider's authorized official is Carol Jean Phillips .
The authorized official title is Lpn and has the following contact phone number (520) 533-9034.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	LP 00041579	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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