Organization Active NPI

Raymond W Bliss Army Health Center

  • Clinic/Center
  • Fort Huachuca, AZ
National Provider Identifier
1619337995
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN146926 Issued in AZ
Legal business name
RAYMOND W BLISS ARMY HEALTH CENTER
Practice address
2240 Winrow Ave
Fort Huachuca, AZ 85613-7079
Phone
(520) 266-3939
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Mrs. Alicea Victoria Maas Barrows, RN
Title
Nurse
Phone
(520) 266-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN146926 AZ Primary

Addresses

Primary practice location

2240 Winrow Ave
Fort Huachuca, AZ 85613-7079

Mailing address

2240 Winrow Ave
Fort Huachuca, AZ 85613-7079
Phone (520) 266-3939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1619337995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-266-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-266-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND W BLISS ARMY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BARROWS",
        "authorized_official_first_name": "ALICEA",
        "authorized_official_middle_name": "VICTORIA MAAS",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "520-266-3939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "RN146926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Huachuca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.