NPIMap

Organization Active NPI

Madigan Army Medical Ctr

  • Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
  • Fort Lewis, WA
National Provider Identifier
1861607673
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterTaxonomy code 261QM1101X
Legal business name
MADIGAN ARMY MEDICAL CTR
Practice address
3Rd Division Dr and Pendleton Ave
BLDG R3134
Fort Lewis, WA 98433
Phone
(253) 968-1110
NPI assigned
May 14, 2007
Organization subpart
Yes
Parent organization
MADIGAN ARMY MEDICAL CTRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Karen Mady
Title
TPC Manager
Phone
(253) 968-6598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X Primary

Addresses

Primary practice location

3Rd Division Dr and Pendleton Ave
BLDG R3134
Fort Lewis, WA 98433

Mailing address

9040A Jackson Ave
Attn: MCHJ-Csa-U
Tacoma, WA 98431-1000
Phone (253) 968-6598

Other identifiers 2

IdentifierTypeStateIssuer
1841390077OtherPARENT FACILITY NPI
AN2598588OtherMEDCO

Other names 1

  • WINDER FAMILY MEDICAL CL-JBLM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madigan Army Medical Ctr33 organizations share this tax ID, including this one
Part of
Madigan Army Medical Ctr

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1861607673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "address_2": "ATTN: MCHJ-CSA-U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311000",
            "telephone_number": "253-968-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3RD DIVISION DR AND PENDLETON AVE",
            "address_2": "BLDG R3134",
            "city": "FORT LEWIS",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADIGAN ARMY MEDICAL CTR",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MADY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "TPC MANAGER",
        "authorized_official_telephone_number": "253-968-6598"
    },
    "taxonomies": [
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1841390077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "AN2598588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDER FAMILY MEDICAL CL-JBLM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lewis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.