Organization · Type 2 NPI

Raymond W. Bliss Army Health Center

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Huachuca, AZ

NPI number 1306049895 Active

Practice location

45005 Arizona Street
Fort Huachuca, AZ 85613

Call (520) 533-1479 Map

Mailing address

2240 E Winrow Ave, Attn Mcxj-Rmd-Msao
Fort Huachuca, AZ 85613-7079

Specialties and licenses

Taxonomy	Code	License
Military/U.S. Coast Guard Outpatient Clinic/Center Primary	261QM1100X	None listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…

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NPI record

NPI: 1306049895
Entity type: Organization (Type 2)
Issued: Jun 11, 2007
Last updated: Nov 17, 2015
Status: Active
Subpart: Yes of Raymond W. Bliss Army Health Center

Other names

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Usadc-Huachuca Runion · doing business as

Authorized official

Faye Livingston
Ubo Manager
(520) 533-9685

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306049895

Raymond W. Bliss Army Health Center's National Provider Identifier is 1306049895, issued on Jun 11, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Huachuca, AZ. The record was last updated on Nov 17, 2015.