WILLIAM BEAUMONT ARMY MEDICAL CENTER (NPI# 1316253297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316253297 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Other Organization Name | BLISS RANGE PHCY |
| Practice Address |
Hawk Rd Rm 9503-11 Chaparrel NM 88021 |
| Practice Telephone | 9155699860 |
| Mailing Telephone | 9155699860 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |
| Authorized Official Name | MR. HECTOR MORALES (DEPUTY DIRECTOR PHCY OPS CTR) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| BLISS RANGE PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1952716896 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1363 Aberdeen Road, White Sands Missile Range, NM 88002-5520 | 2014-06-30 |
| 1629322144 | William Beaumont Army Medical Center | Clinic/Center | Torch St Bldg 21227, Dental Clinic, Fort Bliss, TX 79916 | 2012-11-06 |
| 1366796880 | William Beaumont Army Medical Center | Clinic/Center | Bldg 21227 Torch Street, Fort Bliss, TX 79916 | 2012-11-06 |
| 1134479413 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Torch St Rm C101, Bldg 21227, Ft Bliss, TX 79916 | 2012-09-14 |
| 1962718726 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Haan Rd, Ste A-11 Bldg 1611, Ft Bliss, TX 79916 | 2010-08-31 |
| 1649476474 | William Beaumont Army Medical Center | Clinic/Center | Bldg 11281, Biggs Dental Clinic, Ft Bliss, TX 79920 | 2007-06-27 |
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| 1467667287 | William Beaumont Army Medical Center | Clinic/Center | Ricker Road Bldg 2496, Sfmc, Fort Bliss, TX 79920 | 2007-05-14 |
| 1669687489 | William Beaumont Army Medical Center | Clinic/Center | Ssg Sims Street Bldg 11335, Mendoza Soldier Family Care Clinic, El Paso, TX 79920 | 2007-05-14 |
| Street Address |
HAWK RD RM 9503-11 |
| City | CHAPARREL |
| State | NM |
| Zip Code | 88021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1023524261 | Roxana Mercado | Counselor | 785 Anthony Dr, Anthony, NM 88021 | 2017-12-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1336558360 | Anahi Marquez | Social Worker | 92 Shrode Road, Anthony, NM 88021 | 2014-08-04 |
| 1649692211 | Michael Torres | Case Manager/Care Coordinator | 3150 Anthony Rd Hwy 460, Anthony, NM 88021 | 2014-01-15 |
| 1396167243 | Laura Ceniceros | Case Manager/Care Coordinator | 80 Dos Amigos Road, Anthony, NM 88021 | 2014-01-13 |
| 1174951834 | La Frontera Center Inc. Dba La Frontera New Mexico Inc | Clinic/Center | 880 N. Main St, Suite 3a, Anthony, NM 88021 | 2013-10-16 |
| 1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
| 1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
| Find all providers in zip 88021 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952716896 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1363 Aberdeen Road, White Sands Missile Range, NM 88002-5520 | 2014-06-30 |
| 1780783134 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Aberdeen Ave, Bldg 1363, White Sand Missile Range, NM 88002 | 2006-09-22 |
| 1962501312 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | Gibson Blvd Bldg 20167, Albuquerque, NM 87108 | 2006-09-22 |
| 1871692228 | 27th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103-5009 | 2006-09-22 |
| 1417356072 | 27th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2014-08-20 |
| 1356755185 | 49th Medical Group | Military/U.S. Coast Guard Pharmacy | 280 1st St Bldg 15, Holloman Afb, NM 88330-8273 | 2014-06-19 |
| 1740694553 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | 1501 San Pedro Dr Se Bldg 47, Albuquerque, NM 87108-5153 | 2014-06-19 |
| 1023172772 | Cannon Refill Phcy | Military/U.S. Coast Guard Pharmacy | 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103 | 2006-12-20 |
| 1073610820 | 377th Medical Group | Military/U.S. Coast Guard Pharmacy | 2050a 2nd St Se, Kirtland Afb, NM 87117-5524 | 2006-09-20 |
| 1982701736 | 49th Medical Group | Military/U.S. Coast Guard Pharmacy | 280 1st St, Holloman Afb, NM 88330-8273 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.