NPIMap

Organization Active NPI

William Beaumont Army Medical Center

Doing business as TMC Medical Exam Station (SFMC)

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Bliss, TX
National Provider Identifier
1467667287
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
Doing business as
TMC Medical Exam Station (SFMC)
Practice address
Ricker Road BLDG 2496
SFMC
Fort Bliss, TX 79920
Phone
(915) 742-6047
NPI assigned
May 14, 2007
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
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 NU Primary

Addresses

Primary practice location

Ricker Road BLDG 2496
SFMC
Fort Bliss, TX 79920

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 AMC NPI

Other names 1

  • TMC MEDICAL EXAM STATION (SFMC) 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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1467667287",
    "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": "RICKER ROAD BLDG 2496",
            "address_2": "SFMC",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "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": "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": "TMC MEDICAL EXAM STATION (SFMC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.