NPIMap

Organization Active NPI

William Beaumont Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • El Paso, TX
National Provider Identifier
1104170646
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Practice address
10460 Vista del Sol Dr
El Paso, TX 79925-7947
Phone
(915) 742-2121
NPI assigned
Nov 6, 2012
Organization subpart
Yes
Parent organization
WILLIAM BEAUMONT ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Jose Cruz-Melendez
Title
Ubo Manager
Phone
(915) 742-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

10460 Vista del Sol Dr
El Paso, TX 79925-7947

Mailing address

5005 N Piedras St
Attn Treasurer'S Office
El Paso, TX 79920-5001
Phone (915) 569-2444

Other identifiers 1

IdentifierTypeStateIssuer
1295838787OtherPARENT FACILITY WILLIAM BEAUMONT ARMY MEDICAL CENTER NPI

Other names 1

  • Rio Bravo Medical Home-Bliss Doing business as

National Provider Directory

National Provider Directory
Tax ID family
AMC William Beaumont-Ft Bliss18 organizations share this tax ID, including this one
Part of
AMC William Beaumont-Ft Bliss

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1104170646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "address_2": "ATTN TREASURER'S OFFICE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-569-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257947",
            "telephone_number": "915-742-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ-MELENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "915-742-8291"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY WILLIAM BEAUMONT ARMY MEDICAL CENTER NPI",
            "identifier": "1295838787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Bravo Medical Home-Bliss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.