WILFORD HALL MEDICAL CENTER (NPI# 1144323650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144323650 |
| Entity Type | Organization |
| Organization Name | WILFORD HALL MEDICAL CENTER |
| Practice Address |
18200 Blanco Spgs Apt 112 San Antonio TX 78258-4562 |
| Mailing Address |
2200 Berquist Drive, Suite 1 Attn: Credentials (cmc) Lackland Afb TX 78236 |
| Practice Telephone | 5597316195 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARLON JACKSON (CREDENTIAL MANAGER) |
| Authorized Official Telephone | 2102926707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122749 | Wilford Hall Medical Center | Pharmacy | 25615 North 281, Suite 215, San Antonio, TX 78258 | 2018-01-30 |
| 1508364258 | Wilford Hall Medical Center | Military/U.S. Coast Guard Pharmacy | 25615 Us Highway 281 N Ste 215, San Antonio, TX 78258-7135 | 2018-01-29 |
| 1699269852 | Wilford Hall Medical Center | Military/U.S. Coast Guard Pharmacy | 1940 Carswell Ave, Bldg 7002, Lackland, TX 78236 | 2018-06-20 |
| 1063829414 | Wilford Hall Medical Center | Military/U.S. Coast Guard Pharmacy | 2275 Reese St, Lackland Afb, TX 78236-1245 | 2014-07-17 |
| 1467507947 | Wilford Hall Medical Center | Military Hospital | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2007-01-24 |
| 1760416614 | Wilford Hall Medical Center | Military Hospital | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2006-07-10 |
| 1912968595 | Wilford Hall Medical Center | Military Hospital | 2200 Bergquist Dr, Suite 1 Attn: Credentials Cmc, Lackland A F B, TX 78236-9907 | 2006-03-31 |
| 1861467193 | Wilford Hall Medical Center | Military Hospital | 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236-9907 | 2006-02-21 |
| 1598743825 | Wilford Hall Medical Center | General Acute Care Hospital | 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 | 2006-01-06 |
| 1275511776 | Wilford Hall Medical Center | Military/U.S. Coast Guard Pharmacy | 2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B, TX 78236-9907 | 2006-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILFORD HALL MEDICAL CENTER | 59 Medical Wing, San Antonio, TX 78236 |
| Street Address |
18200 BLANCO SPGS APT 112 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700167632 | Margarita B Mcavay | Military Hospital | 7331 Windbridge, San Antonio, TX 78250-3137 | 2011-09-06 |
| 1124373360 | Audie L. Murphy Memorial Va Hospital | Military Hospital | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2012-07-13 |
| 1316235955 | United States Navy | Military Hospital | 3837 Binz Engleman Rd, San Antonio, TX 78219-2219 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952732398 | Shauna Jones | Military Hospital | 4504 Bronzeway, Dallas, TX 75236 | 2013-12-11 |
| 1790921401 | Michael E. Debakey Veterans Affairs | Military Hospital | 10434 Huntington Wood Dr, Houston, TX 77099-3722 | 2008-12-30 |
| 1952568776 | Vhactx | Military Hospital | 332 Peanut Dr, Temple, TX 76502-5289 | 2008-05-20 |
| 1558747931 | United States Army | Military Hospital | 5005 N Piedras St, El Paso, TX 79920-5002 | 2015-08-07 |
| 1043618531 | Natacha Miller | Military Hospital | 5005 N Piedras St, El Paso, TX 79920-5002 | 2014-12-15 |
| 1245574656 | Veterans Affairs North Texas Health Care System | Military Hospital | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2012-11-26 |
| 1477809200 | Micheal .e. Debaky Medical Center | Military Hospital | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2012-07-30 |
| 1417212283 | Veterans Affairs North Texas Health Care System | Military Hospital | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2012-07-09 |
| 1861753394 | Darnall Army Medical Center | Military Hospital | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2012-05-31 |
| 1447413307 | Michael E Debakey Veterens Affairs Medical Center | Military Hospital | 2002 Holcombe Blvd., Houston, TX 77030-4211 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.