Raymond W Bliss Army Health Center

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

LP028519 Issued in AZ

Legal business name

RAYMOND W BLISS ARMY HEALTH CENTER

Practice address

2240 Winrow Rd
Ft Huachuca, AZ 85613-5080

Phone

(520) 533-2627

NPI assigned

Feb 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Sue Haldorson, LPN

Title

Liciensed Practical Nurse

Phone

(520) 533-2627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558332080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 E CONNOR RD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856509081",
            "telephone_number": "520-803-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW RD",
            "city": "FT HUACHUCA",
            "state": "AZ",
            "postal_code": "856135080",
            "telephone_number": "520-533-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND W BLISS ARMY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALDORSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LICIENSED PRACTICAL  NURSE",
        "authorized_official_telephone_number": "520-533-2627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "AZ",
            "license": "LP028519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Johanna Ramirez, LMSW
• Nancylee Ramsey, LPN
• Linda Ransom-Pool, LPN
• Kendall L. Ray, DDS
• Hannah Raya
• Raymond W Bliss Army Health Center
• Raymond W. Bliss Army Health Center
• Raymond W. Bliss Army Health Center (Usadc-Huachuca Runion)
• Raymond W. Bliss Health Cemter
• Rodolfo Realyvasquez

• Military/U.S. Coast Guard Outpatient Clinic/Center in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.