Organization Active NPI

Raymond W. Bliss Health Cemter

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Ft. Huachuca, AZ
National Provider Identifier
1811960149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
License
LP028575 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.