NPIMap

Organization Active NPI

William Beaumont Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • El Paso, TX
National Provider Identifier
1669687489
Registry record updated Nov 8, 2024
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
Practice address
SSG Sims Street BLDG 11335
Mendoza Soldier Family Care Clinic
El Paso, TX 79920
Phone
(915) 742-1107
NPI assigned
May 14, 2007
Organization subpart
Yes
Parent organization
WILLIAM BEAUMONT ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

SSG Sims Street BLDG 11335
Mendoza Soldier Family Care Clinic
El Paso, TX 79920

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1295838787OtherPARENT FACILITY WILLIAM BEAUMONT AMC NPI

Other names 1

  • MENDOZA SOLDIER FAMILY CARE CLINIC 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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1669687489",
    "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": "SSG SIMS STREET BLDG 11335",
            "address_2": "MENDOZA SOLDIER FAMILY CARE CLINIC",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY WILLIAM BEAUMONT AMC NPI",
            "identifier": "1295838787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENDOZA SOLDIER FAMILY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.