Organization Name: | RAYMOND W. BLISS ARMY HEALTH CENTER |
NPI Number: | 1922181627 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAYE LIVINGSTON (UBO MANAGER) |
Mailing Address: | 2240 E Winrow Ave Ft Huachuca |
State: | AZ US |
Postal Code: | 856137079 |
Phone Number: | 5205330447 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military and U.S. Coast Guard Ambulatory Procedure |
Taxonomy Definition: | That part of a |