NPIMap

Organization Active NPI

Madigan Army Medical Center

  • Military Hospital
  • Tacoma, WA
National Provider Identifier
1740421460
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
C2245 Issued in OR
Legal business name
MADIGAN ARMY MEDICAL CENTER
Practice address
Mamc Dept of Psychology
BLDG 9040 Fitzsimmons Drive
Tacoma, WA 98431-0001
Phone
(253) 968-2700
Fax
(253) 968-3731
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Joseph EtherageNPI 1760440895
Title
Deputy Chief Dept of Psychology
Phone
(253) 968-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X C2245 OR Primary

Addresses

Primary practice location

Mamc Dept of Psychology
BLDG 9040 Fitzsimmons Drive
Tacoma, WA 98431-0001

Mailing address

Mamc Dept of Psychology
BLDG 9040 Fitzsimmons Drive
Tacoma, WA 98431-0001
Phone (253) 968-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1740421460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAMC DEPT OF PSYCHOLOGY",
            "address_2": "BLDG 9040 FITZSIMMONS DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2700",
            "fax_number": "253-968-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAMC DEPT OF PSYCHOLOGY",
            "address_2": "BLDG 9040 FITZSIMMONS DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2700",
            "fax_number": "253-968-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ETHERAGE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DEPUTY CHIEF DEPT OF PSYCHOLOGY",
        "authorized_official_telephone_number": "253-968-2751",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "OR",
            "license": "C2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.