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Organization Active NPI

Weed Army Community Hospital Ft Irwin USA Meddac, P.O. Box 105109,Fort

  • Military Hospital
  • Fort Irwin, CA
National Provider Identifier
1124197017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
LP00045663 Issued in WA
Legal business name
WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT
Practice address
4TH St Innerloop
USA Meddac
Fort Irwin, CA 92310-5109
Phone
(760) 380-3144
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William James Pridgen, LPN EMT
Title
Ncoic LPN Waedmaster
Phone
(760) 380-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X LP00045663 WA Primary

Addresses

Primary practice location

4TH St Innerloop
USA Meddac
Fort Irwin, CA 92310-5109

Mailing address

PO Box 105109
Fort Irwin, CA 92310-5109
Phone (760) 380-3144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124197017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105109",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH ST INNERLOOP",
            "address_2": "USA MEDDAC",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "NCOIC LPN  WAEDMASTER",
        "authorized_official_telephone_number": "760-380-3144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN  EMT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "WA",
            "license": "LP00045663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • 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.