NPIMap

Organization Active NPI

Madigan Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Marina, CA
National Provider Identifier
1497270342
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
MADIGAN ARMY MEDICAL CENTER
Practice address
201 9TH Street
Marina, CA 93933
Phone
(866) 957-2256
NPI assigned
Aug 11, 2017
Organization subpart
Yes
Parent organization
MADIGAN ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Authorized official

Name
Ms. Trina Williams
Title
Budget Analyst
Phone
(831) 242-7225

Specialties & licenses 1

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

Addresses

Primary practice location

201 9TH Street
Marina, CA 93933

Mailing address

473 Cabrillo St Ste A1A
Presidio of Monterey, CA 93944-3201
Phone (866) 957-2256

Other names 1

  • Gourley VA DoD Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madigan Army Medical Ctr33 organizations share this tax ID, including this one
Part of
Madigan Army Medical Ctr

Other organizations with this tax ID 32

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

View all 32

Locations

201 9th St
Marina, CA 93933
Phone (831) 884-1000

473 Cabrillo St
#A1A
Presidio of Monterey, CA 93944
Phone (831) 242-5741

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1497270342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST STE A1A",
            "city": "PRESIDIO OF MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "866-957-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 9TH STREET",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "93933",
            "telephone_number": "866-957-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADIGAN ARMY MEDICAL CENTER",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "BUDGET ANALYST",
        "authorized_official_telephone_number": "831-242-7225",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "Gourley VA DoD Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.