National Provider Identifier Database

AHC R W BLISS HUACHUCA
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

AHC R W BLISS-HUACHUCA
2240 E WINROW AVE
FORT HUACHUCA, AZ85613-7079
Phone: 520-533-0447
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X

* Indicates primary specialty

NPI Profile & details for AHC R W BLISS-HUACHUCA

NPI Number 1922181627
Legal business name
LBN
AHC R W BLISS-HUACHUCA
Authorized official JESTINE VOLGENDE - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 10/24/2006
Last updated 05/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: AN2598588 MEDCO PROVIDER ID
  • Other: 03-24272 NCPDP

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.

Reviews for AHC R W BLISS-HUACHUCA

There are currently no reviews for AHC R W BLISS-HUACHUCA


NPIdb - Home
v2.201