NPIMap

Organization Active NPI

William Beaumont Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Bliss, TX
National Provider Identifier
1326527177
Registry record updated Nov 8, 2024
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
11291 SGT E Churchill St
Fort Bliss, TX 79918-8001
Phone
(915) 742-6199
NPI assigned
Aug 13, 2018
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAM BEAUMONT ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Natividad Gonzalez
Title
Medical Services Accounts Officer
Phone
(915) 742-2753

Specialties & licenses 1

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

Addresses

Primary practice location

11291 SGT E Churchill St
Fort Bliss, TX 79918-8001

Mailing address

5005 N Piedras St
Attn Treasurer's Office
El Paso, TX 79920-5001
Phone (915) 742-6199

Other identifiers 1

IdentifierTypeStateIssuer
1295838787OtherPARENT FACILITY WILLIAM BEAUMONT AMC NPI

Other names 1

  • Senior Leader Sustainment USASMA Other name

National Provider Directory

National Provider Directory
Tax ID family
William Beaumont Army Medical Center18 organizations share this tax ID, including this one
Part of
William Beaumont Army Medical Center

Other organizations with this tax ID 17

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

View all 17

Locations

11291 Sgt E Churchill St
Fort Bliss, TX 79918
Phone (915) 742-6199

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1326527177",
    "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": "915-742-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11291 SGT E CHURCHILL ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188001",
            "telephone_number": "915-742-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NATIVIDAD",
        "authorized_official_title_or_position": "MEDICAL SERVICES ACCOUNTS OFFICER",
        "authorized_official_telephone_number": "915-742-2753"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY WILLIAM BEAUMONT AMC NPI",
            "identifier": "1295838787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Leader Sustainment USASMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.