Organization Active NPI

AMC Bamc-FSH

Doing business as Usadc Rhoades- Sammc

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Sam Houston, TX
National Provider Identifier
1164627121
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
AMC BAMC-FSH
Doing business as
Usadc Rhoades- Sammc
Practice address
1960 Stanley Rd
Blvd 2375
Fort Sam Houston, TX 78234-7650
Phone
(210) 295-8740
NPI assigned
Jun 19, 2007
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMC BAMC-FSHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Charon Monique Seymore
Title
Ubo
Phone
(210) 916-8563

Specialties & licenses 1

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

Addresses

Primary practice location

1960 Stanley Rd
Blvd 2375
Fort Sam Houston, TX 78234-7650

Mailing address

3551 Roger Brooke Dr
McHe-Cou-T Dept 201
San Antonio, TX 78234-4513
Phone (210) 916-8558

Other names 1

  • USADC RHOADES- SAMMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
X Awaiting Inactivation315 organizations share this tax ID, including this one
Part of
AMC Bamc-FSH

Other organizations with this tax ID 14

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

View all 14

Locations

1960 Stanley Rd
Ste 2375
Fort Sam Houston, TX 78234
Phone (210) 295-8740

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1164627121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "MCHE-COU-T DEPT 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344513",
            "telephone_number": "210-916-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 STANLEY RD",
            "address_2": "BLVD 2375",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347650",
            "telephone_number": "210-295-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC BAMC-FSH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC BAMC-FSH",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "CHARON",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "UBO",
        "authorized_official_telephone_number": "210-916-8563"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC RHOADES- SAMMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USADC RHOADES- SAMMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.