AMC BAMC-FSH
NPI 1306041363
Clinic/Center - Military/U.S. Coast Guard Outpatient in San Antonio, TX

Secondary Locations

• 3851 Roger Brooke Dr BLDG 3600 USA DENTAL CLINIC
  Fort Sam Houston, TX 78234
  (210) 916-0332
• 3851 Roger Brooke Dr BLDG 3600 USA DENTAL CLINIC
  Fort Sam Houston, TX 78234
  (210) 916-0332

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code

261QM1100X

Type

Ambulatory Health Care Facilities

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARON MONIQUE SEYMORE

Authorized Official Title

UBO

Authorized Official Phone

(210) 916-8563