USA MEDDAC, RWBAHC; NPI #1356700801

Contact Information

USA MEDDAC, RWBAHC

2240 WINROW AVE
FORT HUACHUCA, AZ 85613

Phone: 520-533-9034
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for USA MEDDAC, RWBAHC

NPI Number 1356700801

LBN Legal business name USA MEDDAC, RWBAHC

Authorized official CRYSTAL QUINTANA - (LICENSED PRACTICAL NURSE)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/12/2016

Last updated 02/12/2016 - About 10 years ago

Identifiers

License #

PN5193793

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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