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BLANCHE BELLE MANNERS CCMA NPI 1437382728


NPI Information

NPI: 1437382728
Provider Name: BLANCHE BELLE MANNERS, CCMA
Classification: Clinic/Center - 261QM1102X
Entity Type: Individual

Specialization: Military Outpatient Operational (Transportable) Component

Address:
18945 FM 2252 STE 115
GARDEN RIDGE, TX
ZIP 78266
Phone: (210) 651-0029
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Blanche Belle Manners, CCMA is a military outpatient operational (transportable) component clinic center in Garden Ridge, TX. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Blanche Belle Manners, CCMA NPI is 1437382728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18945 FM 2252 STE 115
GARDEN RIDGE, TX
ZIP 78266-797
Phone: (210) 651-0029

The enumeration date for this NPI number is 9/2/2009 and was last updated on 9/2/2009.


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
1261QM1102XClinic/CenterMilitary Outpatient Operational (Transportable) Component12225011NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112225011MEDICARE OSCAR/CERTIFICATIONNEW YORK
2340097481192EMEDICARE OSCAR/CERTIFICATIONNEW YORK

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.