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AVIATION SCMH-JBLM
NPI 1245663830
Clinic/Center - Military/U.S. Coast Guard Outpatient in Joint Base Lewis-mcchord, WA

Active since August 19, 2013
9119 MIL PARK AVE, BLDG 9119, JOINT BASE LEWIS-MCCHORD, WA 98433(253) 477-0803 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aviation Scmh-jblm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVIATION SCMH-JBLM (NPI 1245663830) is a healthcare organization registered as a military/u.s. coast guard outpatient in Joint Base Lewis-mcchord, Washington and active in the NPI registry since August 2013. The organization lists Karen Mady, Tpc Manager, as its authorized official.

NPPES Registry Identity

NPI1245663830
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMADIGAN ARMY MEDICAL CTR
Location Address9119 MIL PARK AVE, BLDG 9119Joint Base Lewis-mcchord, WA 98433
Mailing Address9040a Jackson Ave, Attn: Mchj-csa-uTacoma, WA 98431-0001 · (253) 968-6598
Phone(253) 477-0803
Organization SubpartYes
Authorized OfficialKaren MadyTpc Manager · (253) 968-6598
Enumeration DateAugust 19, 2013
Last NPPES UpdateApril 13, 2015
✔ NPI 1245663830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
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.
9119 MIL PARK AVE, Joint Base Lewis-mcchord, WA 98433
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Other Names 1

Doing Business AsAviation Scmh-jblm

Other Identifiers 2

Medicare UPINVAD000
Medicare UPINOTH000

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT
Physician Assistant
9119 MIL PARK AVE, WINDER CLINIC -RAIDER CLINIC
JBLM, WA 98433
Pierce County (253) 477-0800
ALISHA NELOMS
Clinic/Center (Dental)
9119 MIL PARK AVE
FORT LEWIS, WA 98433
Pierce County (253) 966-9960
MITCHELL T MARKS PA-C
Physician Assistant
9119 MIL PARK AVE
JOINT BASE LEWIS MCCHORD, WA 98433
Pierce County (253) 477-0800
JENNIFER RENAE SAUCIER
Family Medicine
9119 MIL PARK AVE
TACOMA, WA 98433
Pierce County (360) 556-0359
CHAN M OH
Dental Hygienist
9119 MIL PARK AVE, SUITE 1111
JBLM, WA 98433
Pierce County (253) 966-9960
TORIA L KOUTRAS DMD
Dentist
9119 MIL PARK AVE
TACOMA, WA 98433
Pierce County (603) 762-3810
MR. DANE CAMERON
Dental Hygienist
9119 MIL PARK AVE, FULTON DENTAL
JBLM, WA 98433
Pierce County (253) 966-9960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madigan Army Medical Ctr's NPI number?

The NPI number for Madigan Army Medical Ctr is 1245663830. It was assigned to this organization in the NPPES registry on August 19, 2013. The provider is doing business as Aviation Scmh-Jblm.

Where is Madigan Army Medical Ctr located?

Madigan Army Medical Ctr is located at 9119 Mil Park Ave Bldg 9119, Joint Base Lewis-Mcchord, WA 98433. The listed phone number is (253) 477-0803.

What is Madigan Army Medical Ctr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Madigan Army Medical Ctr was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.