4/2 EBH CLINIC-JBLM
NPI 1376974303
Clinic/Center - Military/U.S. Coast Guard Outpatient in Tacoma, WA

Active since December 02, 2013
3 RD DIVISION DR BLDG R3150, TACOMA, WA 98431(253) 967-7337 Get Directions Write a Review

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

About 4/2 Ebh Clinic-jblm NPPES

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

4/2 EBH CLINIC-JBLM (NPI 1376974303) is a healthcare organization registered as a military/u.s. coast guard outpatient in Tacoma, Washington and active in the NPI registry since December 2013. The organization lists Karen Mady, Tpc Manager, as its authorized official.

NPPES Registry Identity

NPI1376974303
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameMADIGAN ARMY MEDICAL CTR
Location Address3 RD DIVISION DR BLDG R3150Tacoma, WA 98431-0001
Mailing Address9040a Jackson Ave, Attn: Mchj-csa-uTacoma, WA 98431-0001 · (253) 968-6598
Organization SubpartYes
Authorized OfficialKaren MadyTpc Manager · (253) 968-6598
Enumeration DateDecember 2, 2013
Last NPPES UpdateApril 13, 2015
NPI 1376974303 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.
3 RD DIVISION DR BLDG R3150, Tacoma, WA 98431

Other Names 1

Doing Business As4/2 Ebh Clinic-jblm

Other Identifiers 2

Medicare UPINOTH000
Medicare UPINVAD000

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 1376974303. It was assigned to this organization in the NPPES registry on December 2, 2013. The provider is doing business as 4/2 Ebh Clinic-Jblm.

Where is Madigan Army Medical Ctr located?

Madigan Army Medical Ctr is located at 3 Rd Division Dr Bldg R3150, Tacoma, WA 98431. The listed phone number is (253) 967-7337.

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.