National Provider Identifier Database

RAYMOND W BLISS HEALTH CEMTER
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

RAYMOND W. BLISS HEALTH CEMTER
2240 E. WINROW AVE.
MEDDAC
FORT HUACHUCA, AZ85613
Phone: 520-538-1546
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for RAYMOND W. BLISS HEALTH CEMTER

NPI Number 1811960149
Legal business name
LBN
RAYMOND W. BLISS HEALTH CEMTER
Authorized official GUADALUPE VAN HUSS - (NURSE)
Entity Organization
Organization subpart No
Enumeration date 02/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: LP028575

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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