Organization · Type 2 NPI

Madigan Army Medical CTR

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Fort Lewis, WA

NPI number 1861607673 Active

Practice location

3rd Division Dr And Pendleton Ave, Bldg R3134
Fort Lewis, WA 98433

Mailing address

9040A Jackson Ave, Attn: Mchj-Csa-U
Tacoma, WA 98431-1000

Specialties and licenses

TaxonomyCodeLicense
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Primary 261QM1101XNone listed

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center: That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmace…

About NPI 1861607673

Madigan Army Medical CTR's National Provider Identifier is 1861607673, issued on May 14, 2007. The primary taxonomy on file is Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (261QM1101X), and the practice location is in Fort Lewis, WA. The record was last updated on Apr 13, 2015.