Madigan Army Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

LP00043971 Issued in WA

Legal business name

MADIGAN ARMY MEDICAL CENTER

Practice address

9040 Reid St
Joint Base Lewis McChord, WA 98431-1100

Phone

(253) 968-2252

Fax

(253) 968-3278

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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

Barbara Salinero

Title

Credentials Manager

Phone

(253) 968-1484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1578930749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 REID ST",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-2252",
            "fax_number": "253-968-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 REID ST",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-2252",
            "fax_number": "253-968-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "SALINERO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "253-968-1484"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "LP00043971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Rhucent Y Lucas
• Christopher D Lucio Strayer, IDMT
• Leilani Monique Luva
• Becky Jean Lux
• Dusten Malcolm Macdonald, M.D.
• Madigan Army Medical Ctr (Aviation SCMH-JBLM)
• Madigan Army Medical Ctr (555 En/17 Fib Soldier Care MH)
• Victoria Magoonbarker, HL
• Pooja Mahadevaswamy
• William Cooper Procter Maloney, DO

• Primary Care Clinic/Center in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.