WILLIAM BEAUMONT ARMY MEDICAL CENTER (NPI# 1639382047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639382047 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Other Organization Name | AHC MCAFEE |
| Practice Address |
530 Rock Island Ave White Sands Missile Range NM 88002-1197 |
| Mailing Address |
5005 N Piedras St Attn Treasurer's Office El Paso TX 79920-5001 |
| Practice Telephone | 5056784992 |
| Mailing Telephone | 9155692444 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | JOSE CRUZ-MELENDEZ (UBO MANAGER) |
| Authorized Official Telephone | 9157428291 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AHC MCAFEE | 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 |
| 1316253297 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | Hawk Rd, Rm 9503-11, Chaparrel, NM 88021 | 2010-08-30 |
| 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 |
| Street Address |
530 ROCK ISLAND AVE |
| City | WHITE SANDS MISSILE RANGE |
| State | NM |
| Zip Code | 88002-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546970 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, Bldg 2 Tmc Mcgregor Range, White Sands Missile Range, NM 88002-1197 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440510 | Speak Therapy Group LLC | Speech-Language Pathologist | 1300 Lopez Rd, Chamberino, NM 88002 | 2015-02-26 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1740548379 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 260, Main Exchange, White Sands Missle Range, NM 88002 | 2012-05-02 |
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| 1780783134 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Aberdeen Ave, Bldg 1363, White Sand Missile Range, NM 88002 | 2006-09-22 |
| 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 |
| 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 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1518017755 | Michael Beckler | Social Worker | Mcafee U. S. Army Health Clinic, White Sands Missile Range, NM 88011 | 2007-01-11 |
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546970 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, Bldg 2 Tmc Mcgregor Range, White Sands Missile Range, NM 88002-1197 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| City | WHITE SANDS MISSILE RANGE |
| Zip Code | 88002 |
Please comment or provide details below to improve the information on WILLIAM BEAUMONT ARMY MEDICAL CENTER.
| 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.