RAYMOND W BLISS ARMY HEALTH CENTER


Address: 2240 Winrow Rd Bldg 45001, Raymond W. Bliss Army Health Center, Fort Huachuca, AZ 85613-5080
Phone: 5205332520

RAYMOND W BLISS ARMY HEALTH CENTER (NPI# 1710391156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710391156
Entity Type Organization
Organization Name RAYMOND W BLISS ARMY HEALTH CENTER
Other Organization Name DOD FT HUACHUCA EPHCY
Practice Address 2240 Winrow Rd Bldg 45001
Raymond W. Bliss Army Health Center
Fort Huachuca
AZ 85613-5080
Mailing Address Raymond W. Bliss Army Health Center
Co Mcxj-rmd-msad 2240 E Winrow Ave
Ft Huachuca
AZ 85613-5080
Practice Telephone 5205332520
Practice Fax Number 5205330464
Mailing Telephone 5205332520
Mailing Fax Number 5205330464
Enumeration Date 2014-06-13
Last Update Date 2015-06-19
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146184 01

Other Provider/Organization Names

Other Name Type Code
DoD FT HUACHUCA ePhcy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114026150 Raymond W Bliss Army Health Center Military/U.S. Coast Guard Pharmacy 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 2006-09-22
1619337995 Raymond W Bliss Army Health Center Clinic/Center 2240 Winrow Ave, Fort Huachuca, AZ 85613-7079 2016-03-01
1558332080 Raymond W Bliss Army Health Center Clinic/Center 2240 Winrow Rd, Ft Huachuca, AZ 85613-5080 2006-02-01

Office Location

Street Address 2240 WINROW RD BLDG 45001
RAYMOND W. BLISS ARMY HEALTH CENTER
City FORT HUACHUCA
State AZ
Zip Code 85613-5080

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457713794 Robert Lee Kent Jr. Registered Nurse 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 2016-03-25
1548628662 George Fauber Licensed Practical Nurse 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 2016-02-03
1013207810 Gerald Michael Pastore Counselor 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 2011-04-13
1306049895 Raymond W. Bliss Army Health Center Clinic/Center 45005 Arizona Street, Fort Huachuca, AZ 85613 2007-06-11
1477617124 Raymond W. Bliss Army Health Center Military/U.S. Coast Guard Pharmacy 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 2006-12-20
1114026150 Raymond W Bliss Army Health Center Military/U.S. Coast Guard Pharmacy 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 2006-09-22
1013931484 Mark Allen Hendrickson Internal Medicine Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 2006-07-27
1972538973 Gail Pielack Nurse Practitioner Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 2006-07-11
1093755233 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 2006-06-07
1336119395 Eric Nmi Danko Dentist 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 2006-01-24
Find all providers in zip 85613

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942697685 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
1467864090 Weed Army Community Hospital Military/U.S. Coast Guard Pharmacy 301 C St Bldg 990, Us Army Health Clinic,yuma Proving Ground, Ypg, AZ 85365-9498 2014-06-02
1477617124 Raymond W. Bliss Army Health Center Military/U.S. Coast Guard Pharmacy 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 2006-12-20
1972693208 Yuma Flas Phcy Military/U.S. Coast Guard Pharmacy Bmc Bldg 1175, Yuma, AZ 85369-9116 2006-10-16
1427148758 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 2006-10-16
1306945472 56th Medical Group Sgsl Military/U.S. Coast Guard Pharmacy Bldg 810, Luke Afb, AZ 85309 2006-09-22
1396844338 Weed Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 990, Yuma, AZ 85365 2006-09-22
1205935244 355th Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 2714 Bola Ave, Tucson, AZ 85707 2006-09-22
1114026150 Raymond W Bliss Army Health Center Military/U.S. Coast Guard Pharmacy 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 2006-09-22
1699162339 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
Find all providers with the same taxonomy

Competitor

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City FORT HUACHUCA
Zip Code 85613

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Dataset Information

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.

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