WILLIAM BEAUMONT ARMY MEDICAL CENTER (NPI# 1982183737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982183737 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER |
| Other Organization Name | DESERT SAGE MEDICAL HOME |
| Practice Address |
7400 Helen of Troy El Paso TX 79912 |
| Mailing Address |
5005 N Piedras St Attn Treasuer's Office El Paso TX 79920-5001 |
| Practice Telephone | 9157422121 |
| Mailing Telephone | 9157426199 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | NATIVIDAD GONZALEZ (MEDICAL SERVICES ACCOUNTS OFFICER) |
| Authorized Official Telephone | 9157422753 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARENT FACILITY WILLIAM BEAUMONT ARMY MEDICAL CENTER NPI | 1295838787 | 01 |
| Other Name | Type Code |
|---|---|
| Desert Sage Medical Home | Other Name - Individual/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 |
7400 HELEN OF TROY |
| City | EL PASO |
| State | TX |
| Zip Code | 79912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821047242 | Ricardo Perez | Family Medicine | 7400 Helen of Troy, El Paso, TX 79912 | 2006-05-10 |
| 1225503105 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | 7400 Helen of Troy, El Paso, TX 79912 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1295838787 | William Beaumont Army Medical Center | Clinic/Center | 5005 N Piedras Street, El Paso, TX 79920-5001 | 2006-09-07 |
| 1104170646 | William Beaumont Army Medical Center | Clinic/Center | 10460 Vista Del Sol Dr, El Paso, TX 79925-7947 | 2012-11-06 |
| 1003012576 | William Beaumont Army Medical Center | Clinic/Center | 5005 N Piedras St, Building 7777, El Paso, TX 79920-5001 | 2007-06-22 |
| 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 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| 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.