Active NPI
Wilford Hall Medical Center
- Military Hospital
- Lackland a F B, TX
National Provider Identifier
1760416614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 529878
- Legal business name
- WILFORD HALL MEDICAL CENTER
- Practice address
- 2200 Bergquist Dr Ste 1
Lackland a F B, TX 78236-9908 - Phone
- (210) 292-7170
- Fax
- (210) 292-7209
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lydia Martha Chapa-Wilson, PED NURSE PRACTITION
- Title
- Cystic Fibrosis/Asthma Coordinator
- Phone
- (210) 292-7170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 529878 | TX | Primary |
Addresses
Primary practice location
2200 Bergquist Dr Ste 1
Lackland a F B, TX 78236-9908
Mailing address
2200 Bergquist Dr Ste 1
Lackland a F B, TX 78236-9908
Phone (210) 292-7170
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760416614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR STE 1",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-7170",
"fax_number": "210-292-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR STE 1",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-7170",
"fax_number": "210-292-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILFORD HALL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAPA-WILSON",
"authorized_official_first_name": "LYDIA",
"authorized_official_middle_name": "MARTHA",
"authorized_official_title_or_position": "CYSTIC FIBROSIS/ASTHMA COORDINATOR",
"authorized_official_telephone_number": "210-292-7170",
"authorized_official_credential": "PED NURSE PRACTITION"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "TX",
"license": "529878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland a F B, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.