Active NPI
Raymond W. Bliss Health Cemter
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Ft. Huachuca, AZ
National Provider Identifier
1811960149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- License
- LP028575
- Legal business name
- RAYMOND W. BLISS HEALTH CEMTER
- Practice address
- 2240 E. Winrow Ave.
Meddac
Ft. Huachuca, AZ 85613 - Phone
- (520) 538-1546
- NPI assigned
- Feb 8, 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
- Mrs. Guadalupe Van Huss, LPN
- Title
- Nurse
- Phone
- (520) 538-1546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | LP028575 | AZ | Primary |
Addresses
Primary practice location
2240 E. Winrow Ave.
Meddac
Ft. Huachuca, AZ 85613
Mailing address
600 Chantilly Dr
Sierra Vista, AZ 85635-4732
Phone (520) 459-6698
National Provider Directory
National Provider DirectoryLocations
2240 Winrow Rd
Sierra Vista, AZ 85613
Phone (520) 533-9033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811960149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CHANTILLY DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354732",
"telephone_number": "520-459-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E. WINROW AVE.",
"address_2": "MEDDAC",
"city": "FT. HUACHUCA",
"state": "AZ",
"postal_code": "85613",
"telephone_number": "520-538-1546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND W. BLISS HEALTH CEMTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VAN HUSS",
"authorized_official_first_name": "GUADALUPE",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "520-538-1546",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": "AZ",
"license": "LP028575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Huachuca, AZ
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.