NPIMap

Organization Active NPI

William Beaumont Army Medical Center

Doing business as Usadc Whitesands

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • White Sands, NM
National Provider Identifier
1629274105
Registry record updated Jan 7, 2013
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
Usadc Whitesands
Practice address
525 Rock Island
White Sands, NM 88002
Phone
(505) 678-1141
NPI assigned
Jun 22, 2007
Last updated
Jan 7, 2013By 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 Jan 7, 2013

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 Primary

Addresses

Primary practice location

525 Rock Island
White Sands, NM 88002

Mailing address

5005 N Piedras St
Attn Treasurer's Office
El Paso, TX 79920-5001
Phone (915) 569-2444

Other names 1

  • USADC WHITESANDS 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

Locations

525 Rock Island Ave
White Sands, NM 88002
Phone (505) 678-1141

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1629274105",
    "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": "525 ROCK ISLAND",
            "city": "WHITE SANDS",
            "state": "NM",
            "postal_code": "88002",
            "telephone_number": "505-678-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-01-07",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC WHITESANDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Sands, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.