National Provider Identifier Database

ACH WEED IRWIN
Military/U.S. Coast Guard Outpatient

The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

ACH WEED-IRWIN
INNER LOOP BLDG 170
FORT IRWIN, CA92310
Phone: 760-380-3631
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for ACH WEED-IRWIN

NPI Number 1194931683
Legal business name
LBN
ACH WEED-IRWIN
Authorized official DERRECK SUMMERS - (C, PAD)
Entity Organization
Organization subpart Yes
Enumeration date 05/14/2007
Last updated 06/13/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1275618514 PARENT FACILITY WEED ARMY COMMUNITY HOSPITAL

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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