Raymond W. Bliss Army Health Center

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

RN129279 Issued in AZ

Legal business name

RAYMOND W. BLISS ARMY HEALTH CENTER

Practice address

2240 E. Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613-7079

Phone

(520) 533-2627

NPI assigned

Feb 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rebecca Lynn Brown, RN, BSN

Title

Head Nurse, Dept of Mil Med

Phone

(520) 533-9134

Specialties & licenses 1

Addresses

Other names 1

• Dept of Military Medicine Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083685507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 E MANDAN DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856509774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E. WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-533-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND W. BLISS ARMY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "HEAD NURSE, DEPT OF MIL MED",
        "authorized_official_telephone_number": "520-533-9134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "AZ",
            "license": "RN129279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Military Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Ransom-Pool, LPN
• Kendall L. Ray, DDS
• Hannah Raya
• Raymond W Bliss Army Health Center
• Raymond W Bliss Army Health Center
• Raymond W. Bliss Army Health Center
• Raymond W. Bliss Health Cemter
• Rodolfo Realyvasquez
• Margaret Mary Register, RN
• Rebecca Reyes, MD

• Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.