USADC FT. BLISS WBAMC (WILLIAM BEAUMONT ARMY MEDICAL CENTER) NPI 1003012576
Clinic/Center (Military/U.S. Coast Guard Outpatient) in El Paso, TX
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 Name | USADC FT. BLISS WBAMC (WILLIAM BEAUMONT ARMY MEDICAL CENTER) |
| Provider Location Address | 5005 N PIEDRAS ST BUILDING 7777 EL PASO, TX 79920 |
| Provider Mailing Address | 5005 N PIEDRAS ST ATTN TREASURER'S OFFICE EL PASO, TX 79920 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Other Organization Name | USADC FT. BLISS WBAMC |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 06-22-2007 |
| Last Update Date | 01-07-2013 |
Primary Taxonomy
| Taxonomy Code | 261QM1100X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Military/U.S. Coast Guard Outpatient |
| Taxonomy Description | 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. |
Business Address
USADC FT. BLISS WBAMC
5005 N PIEDRAS ST
BUILDING 7777
EL PASO, TX
ZIP 79920
Phone: (915) 568-1101
Mailing Address
USADC FT. BLISS WBAMC
5005 N PIEDRAS ST
ATTN TREASURER'S OFFICE
EL PASO, TX
ZIP 79920
Phone: (915) 569-2444
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588663868 | DR. TROY M DENUNZIO SR. DO Individual | Internal Medicine (Nephrology) | 5005 N PIEDRAS ST ATTN: CREDENTIALS OFFICE EL PASO, TX 79920 (915) 569-2603 |
| 1669462545 | PROF. NORMALYNN GARRETT CRNA, PHD Individual | Nurse Anesthetist, Certified Registered | 5005 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 |
| 1720069107 | MR. SCOTT HARRIS HERSHMAN LCSW,LMFT Individual | Social Worker (Clinical) | 5005 N PIEDRAS ST WBAMC/ATT CREDENTIALS EL PASO, TX 79920 (915) 569-1382 |
| 1558343335 | DR. LAURA SALAIS PHARM D Individual | Pharmacist | 5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER (ATTN: CREDENTIALS EL PASO, TX 79920 (915) 569-1233 |
| 1982686663 | DR. JOANNE M PERRY PHD Individual | Social Worker | 5005 N PIEDRAS ST ATTN; CREDENTIALS OFFICE EL PASO, TX 79920 (915) 569-1233 |
| 1366424053 | JEROD AMOO JEWELL RPH Individual | Pharmacist | 5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER EL PASO, TX 79920 (915) 569-1184 |
| 1689656035 | IQBAL AHMAD HAMZA RPH Individual | Pharmacist | 5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER EL PASO, TX 79920 (915) 569-1113 |
| 1548242126 | MR. SCOTT CHRISTOPHER DEMBOWSKI MSPT Individual | Physical Therapist | 5005 N PIEDRAS ST WBAMC, ATTN: CREDENTIALS OFFICE EL PASO, TX 79920 (915) 569-1233 |
| 1700869807 | MS. SHANNON M. LYNCH PT Individual | Physical Therapist | 5005 N PIEDRAS ST WILLIAM BEAUMONT MEDICAL CENTER ATTN: CREDENTIALS OFFIC EL PASO, TX 79920 (915) 569-1233 |
| 1447233366 | DR. 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 |
| 1942283619 | DR. 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 |
| 1861476194 | MS. JACQUELINE MARIE JURKOWSKI OCCUPATIONAL THERAPI Individual | Occupational Therapist | 5005 N PIEDRAS ST WILLIAM BEAUMONT MEDICAL CENTER EL PASO, TX 79920 (915) 569-2107 |
| 1447234687 | MS. CECILIA NAJERA M.O.T.,R/L Individual | Occupational Therapist | 5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER, ATTN:CREDENTIALS EL PASO, TX 79920 (915) 569-2107 |
| 1386628451 | MR. VICTOR X BLANCAS JR. PHYSICAL THERAPIST Individual | Physical Therapist | 5005 N PIEDRAS ST WBAMC ATTN CREDENTIALS OFFICE EL PASO, TX 79920 (915) 569-1233 |
| 1295712479 | DR. KAREN BATCHELDER CHANDLER DMD Individual | Dentist (General Practice) | 5005 N PIEDRAS ST DENTAC EL PASO, TX 79920 (915) 742-6001 |
| 1801875281 | DR. CAROL M SEIDENSTEIN MD Individual | Military Health Care Provider | 5005 N PIEDRAS ST EL PASO, TX 79920 (915) 569-2507 |
| 1306825666 | DR. LALAINE DE LEON VILLAROJO M. D. Individual | Pediatrics | 5005 N PIEDRAS ST EL PASO, TX 79920 (915) 569-1233 |
| 1891774238 | DIANE MCELROY CNM Individual | Advanced Practice Midwife | 5005 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.