NPIMap

Organization Active NPI

Weed Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Irwin, CA
National Provider Identifier
1780968321
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
WEED ARMY COMMUNITY HOSPITAL
Practice address
Building 295 Avenue B
Fort Irwin, CA 92310
Phone
(760) 380-6628
NPI assigned
Sep 30, 2011
Organization subpart
Yes
Parent organization
WEED ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Derreck Summers
Title
C, Pad
Phone
(760) 380-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

Building 295 Avenue B
Fort Irwin, CA 92310

Mailing address

4TH Street
BLDG 166 RM 109
Fort Irwin, CA 92310-5109
Phone (760) 380-5213

Other identifiers 1

IdentifierTypeStateIssuer
1275618514OtherPARENT FACILITY WEED ARMY COMMUNITY HOSPITAL NPI

Other names 1

  • TMC-1-IRWIN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Weed Army Community Hospital10 organizations share this tax ID, including this one
Part of
Weed Army Community Hospital

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1780968321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4TH STREET",
            "address_2": "BLDG 166 RM 109",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 295 AVENUE B",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEED ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEED ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2011-09-30",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "DERRECK",
        "authorized_official_title_or_position": "C, PAD",
        "authorized_official_telephone_number": "760-380-3392"
    },
    "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 WEED ARMY COMMUNITY HOSPITAL NPI",
            "identifier": "1275618514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMC-1-IRWIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.