USADC FT. BLISS WBAMC (WILLIAM BEAUMONT ARMY MEDICAL CENTER) NPI 1003012576

Clinic/Center (Military/U.S. Coast Guard Outpatient) in El Paso, TX

NPI 1003012576 Organization Clinic/Center Military/U.S. Coast Guard Outpatient

About USADC FT. BLISS WBAMC (WILLIAM BEAUMONT ARMY MEDICAL CENTER)

Usadc Ft. Bliss Wbamc (william Beaumont Army Medical Center) is a provider established in El Paso, Texas specializing in clinic/center (military/u.s. coast guard outpatient) . The NPI number of Usadc Ft. Bliss Wbamc (william Beaumont Army Medical Center) is 1003012576 and was assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Usadc Ft. Bliss Wbamc. The authorized official of this NPI record is Jose Cruz-melendez (Ubo Manager)

NPI

1003012576

Provider NameUSADC FT. BLISS WBAMC (WILLIAM BEAUMONT ARMY MEDICAL CENTER)
Provider Location Address5005 N PIEDRAS ST BUILDING 7777 EL PASO, TX 79920
Provider Mailing Address5005 N PIEDRAS ST ATTN TREASURER'S OFFICE EL PASO, TX 79920
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameUSADC FT. BLISS WBAMC
Other Name TypeDoing Business As (3)
Enumeration Date06-22-2007
Last Update Date01-07-2013


Primary Taxonomy

Taxonomy Code261QM1100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMilitary/U.S. Coast Guard Outpatient
Taxonomy DescriptionThe 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.

Business Address

USADC FT. BLISS WBAMC
5005 N PIEDRAS ST
BUILDING 7777
EL PASO, TX
ZIP 79920
Phone: (915) 568-1101

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Mailing Address

USADC FT. BLISS WBAMC
5005 N PIEDRAS ST
ATTN TREASURER'S OFFICE
EL PASO, TX
ZIP 79920
Phone: (915) 569-2444



Authorized Official

Authorized Official Name JOSE CRUZ-MELENDEZ
Authorized Official TitleUBO MANAGER
Authorized Official Phone(915) 742-8291

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588663868DR. TROY M DENUNZIO SR. DO
Individual
Internal Medicine (Nephrology)5005 N PIEDRAS ST ATTN: CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-2603
1669462545PROF. NORMALYNN GARRETT CRNA, PHD
Individual
Nurse Anesthetist, Certified Registered5005 N PIEDRAS ST WBAMC, MS DEBRA RODOCKER, CREDENTIALS COORDINATOR
EL PASO, TX 79920
(915) 569-1382
1033190921 STANLEY T BREUER OTR/L, CHT
Individual
Occupational Therapist (Hand)5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO, TX 79920
(915) 569-1233
1720069107MR. SCOTT HARRIS HERSHMAN LCSW,LMFT
Individual
Social Worker (Clinical)5005 N PIEDRAS ST WBAMC/ATT CREDENTIALS
EL PASO, TX 79920
(915) 569-1382
1558343335DR. LAURA SALAIS PHARM D
Individual
Pharmacist5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER (ATTN: CREDENTIALS
EL PASO, TX 79920
(915) 569-1233
1982686663DR. JOANNE M PERRY PHD
Individual
Social Worker5005 N PIEDRAS ST ATTN; CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1233
1366424053 JEROD AMOO JEWELL RPH
Individual
Pharmacist5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO, TX 79920
(915) 569-1184
1689656035 IQBAL AHMAD HAMZA RPH
Individual
Pharmacist5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO, TX 79920
(915) 569-1113
1548242126MR. SCOTT CHRISTOPHER DEMBOWSKI MSPT
Individual
Physical Therapist5005 N PIEDRAS ST WBAMC, ATTN: CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1233
1700869807MS. SHANNON M. LYNCH PT
Individual
Physical Therapist5005 N PIEDRAS ST WILLIAM BEAUMONT MEDICAL CENTER ATTN: CREDENTIALS OFFIC
EL PASO, TX 79920
(915) 569-1233
1447233366DR. ADRIANNA F. PARRA PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL ATTN: CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1382
1942283619DR. CHARLES NICK MCKEE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER ATTN: CREDENTIAL
EL PASO, TX 79920
(915) 569-1233
1861476194MS. JACQUELINE MARIE JURKOWSKI OCCUPATIONAL THERAPI
Individual
Occupational Therapist5005 N PIEDRAS ST WILLIAM BEAUMONT MEDICAL CENTER
EL PASO, TX 79920
(915) 569-2107
1447234687MS. CECILIA NAJERA M.O.T.,R/L
Individual
Occupational Therapist5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER, ATTN:CREDENTIALS
EL PASO, TX 79920
(915) 569-2107
1386628451MR. VICTOR X BLANCAS JR. PHYSICAL THERAPIST
Individual
Physical Therapist5005 N PIEDRAS ST WBAMC ATTN CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1233
1295712479DR. KAREN BATCHELDER CHANDLER DMD
Individual
Dentist (General Practice)5005 N PIEDRAS ST DENTAC
EL PASO, TX 79920
(915) 742-6001
1801875281DR. CAROL M SEIDENSTEIN MD
Individual
Military Health Care Provider5005 N PIEDRAS ST
EL PASO, TX 79920
(915) 569-2507
1306825666DR. LALAINE DE LEON VILLAROJO M. D.
Individual
Pediatrics5005 N PIEDRAS ST
EL PASO, TX 79920
(915) 569-1233
1891774238 DIANE MCELROY CNM
Individual
Advanced Practice Midwife5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL ATTN; CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1233
1780658435 DAVID ALLEN DORSEY MD
Individual
Internal Medicine (Critical Care Medicine)5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL, ATTN: CREDENTIALS OFFICE
EL PASO, TX 79920
(915) 569-1386

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.