NPIMap

Organization Active NPI

Raymond W. Bliss Army Health Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Huachuca, AZ
National Provider Identifier
1306049895
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
RAYMOND W. BLISS ARMY HEALTH CENTER
Practice address
45005 Arizona Street
Fort Huachuca, AZ 85613
Phone
(520) 533-1479
NPI assigned
Jun 11, 2007
Organization subpart
Yes
Parent organization
RAYMOND W. BLISS ARMY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Faye Livingston
Title
Ubo Manager
Phone
(520) 533-9685

Specialties & licenses 1

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

Addresses

Primary practice location

45005 Arizona Street
Fort Huachuca, AZ 85613

Mailing address

2240 E Winrow Ave
Attn MCXJ-RMD-Msao
Fort Huachuca, AZ 85613-7079
Phone (520) 533-9685

Other names 1

  • USADC-HUACHUCA RUNION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Raymond W Bliss Army Health Center3 organizations share this tax ID, including this one
Part of
Raymond W Bliss Army Health Center

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1306049895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E WINROW AVE",
            "address_2": "ATTN MCXJ-RMD-MSAO",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-533-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45005 ARIZONA STREET",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND W. BLISS ARMY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAYMOND W. BLISS ARMY HEALTH CENTER",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "520-533-9685"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC-HUACHUCA RUNION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Huachuca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.