USA MEDDACRWBAHC NPI 1588635098

NPI Details

USA MEDDAC,RWBAHC is a military/u.s. coast guard outpatient clinic center in Ft Huachuca, AZ. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. USA MEDDAC,RWBAHC NPI is 1588635098. The provider is registered as an organization entity type.

The provider's business location address is:

2240 WINROW RD
FT HUACHUCA, AZ
ZIP 85613-080
Phone: (520) 533-0575

The provider's authorized official is Patricia Ann Marshall .
The authorized official title is Clinical Nurse and has the following contact phone number (520) 533-0757.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 8/22/2020.

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: