BROOKE ARMY MEDICAL CENTER NPI 1538251764

NPI Information

NPI: 1538251764
Provider Name: BROOKE ARMY MEDICAL CENTER

Other Name: SAN ANTONIO MILITARY MEDICAL CENTER-SAMMC

Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization
Address:
3551 ROGER BROOKE DR
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 916-4682
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BROOKE ARMY MEDICAL CENTER is a student in an organized health care education training program in San Antonio, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. BROOKE ARMY MEDICAL CENTER NPI is 1538251764. The provider is registered as an organization entity type.
The provider Other Name Is San Antonio Military Medical Center-sammc.

The provider's business location address is:

3551 ROGER BROOKE DR
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 916-4682

The provider's authorized official is Clenton Ballard .
The authorized official title is C, Ubo and has the following contact phone number (210) 916-8561.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/14/2023.

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	Primary
1	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
2	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	No
3	2865M2000X	Military Hospital	Military General Acute Care Hospital	No
4	332000000X	Military/U.S. Coast Guard Pharmacy		No
5	341800000X	Military/U.S. Coast Guard Transport		No
6	390200000X	Student in an Organized Health Care Education/Training Program		Yes

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
1	AN2598588	OTHER		MEDCO
2	35JK	OTHER	TEXAS	BC BS PROVIDER
3	4503884	OTHER		NCPDP
4	HH6041	OTHER	TEXAS	BC/BS PROVIDER NUMBER

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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