RAYMOND W BLISS ARMY HEALTH CENTER
NPI 1558332080
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft Huachuca, AZ

NPI Status: Active since February 01, 2006

Contact Information

2240 WINROW RD
FT HUACHUCA, AZ
ZIP 85613
Phone: (520) 533-2627

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

About RAYMOND W BLISS ARMY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Raymond W Bliss Army Health Center, a provider established in Ft Huachuca, Arizona operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1558332080 assigned on February 2006. The practitioner's primary taxonomy code is 261QM1100X with license number LP028519 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Linda Sue Haldorson Lpn (Liciensed Practical Nurse)

NPI
1558332080
Provider Name
RAYMOND W BLISS ARMY HEALTH CENTER
Entity Type
Organization
Location Address
2240 WINROW RD FT HUACHUCA, AZ 85613
Location Phone
(520) 533-2627
Mailing Address
7935 E CONNOR RD SIERRA VISTA, AZ 85650
Mailing Phone
(520) 803-6793
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2006
Last Update Date
08-22-2020
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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
License No.
LP028519
License State
AZ
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

MRS. LINDA SUE HALDORSON LPN

Authorized Official Title
LICIENSED PRACTICAL NURSE
Authorized Official Phone
(520) 533-2627

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558332080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108634016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 3 + 4 + 0 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1558332080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. VANCIL MCNULTY PT

Physical Therapist

(Orthopedic)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9902

DR. CLARENCE RICHARD KNOWLES DO

Pediatrics

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9143

MR. MICHAEL WAYNE KARR RPH

Pharmacist

2240 WINROW RD
ATTN: PHARMACY
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-2520

MR. MICHAEL WAYNE PECK MS, ATC, LAT

Specialist/Technologist

(Athletic Trainer)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9102

MERCY W CARBONE LPN

Licensed Vocational Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-2066

PATRICIA ANNE MARTINEZ RN

Registered Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-5113

RODOLFO REALYVASQUEZ

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9033

MRS. ROSA ALMA HERNANDEZ

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9034

MRS. MARGARET MARY REGISTER RN

Registered Nurse

(Administrator)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9034

SERENA HERNANDEZ

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9034

DEBRA A THORNBY

Registered Nurse

(Occupational Health)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-4887

BARBARA LONG R.N.

Registered Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-5956

LISA BUEHLER LPN

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9121

CINDY BERRY

Registered Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-9179

KIRSTEN CURTIS

Emergency Medical Technician, Basic

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-3711

MRS. RACHEL TRIPP

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-2066

LINDA RANSOM-POOL LPN

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-2627

JEAN PABLO WEBB

Licensed Practical Nurse

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-2627

NICOLE AVERAINO RN

Registered Nurse

(Case Management)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-5580

AKUNNA AKURUKA RN

Registered Nurse

(Ambulatory Care)

2240 WINROW RD
FORT HUACHUCA, AZ
ZIP 85613

(520) 533-5309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558332080, enumerated as an "organization" on February 01, 2006.

The provider is located at 2240 WINROW RD FT HUACHUCA, AZ 85613 and the phone number is (520) 533-2627.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.