USA MEDDAC RWBAHC NPI 1356700801

NPI Information

NPI: 1356700801
Provider Name: USA MEDDAC, RWBAHC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2240 WINROW AVE
FORT HUACHUCA, AZ
ZIP 85613
Phone: (520) 533-9034
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USA MEDDAC, RWBAHC is a health service clinic center in Fort Huachuca, AZ. USA MEDDAC, RWBAHC NPI is 1356700801. The provider is registered as an organization entity type.

The provider's business location address is:

2240 WINROW AVE
FORT HUACHUCA, AZ
ZIP 85613
Phone: (520) 533-9034

The provider's authorized official is Crystal Quintana .
The authorized official title is Licensed Practical Nurse and has the following contact phone number (520) 533-9034.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 2/12/2016.

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	261QH0100X	Clinic/Center	Health Service	PN5193793	FLORIDA	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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