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Contact Information

RAYMOND W. BLISS HEALTH CEMTER
2240 E. WINROW AVE.
MEDDAC
FORT HUACHUCA, AZ85613
 Phone: 520-538-1546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for RAYMOND W. BLISS HEALTH CEMTER

NPI Number 1811960149
LBN Legal business name RAYMOND W. BLISS HEALTH CEMTER
Authorized official GUADALUPE VAN HUSS - (NURSE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AZ License # LP028575
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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