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William Beaumont Army Medical Center

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in El Paso, TX. Organization (NPI-2).

NPI number1669687489
StatusActive
Last updated in NPPESNov 8, 2024

Details

NPI
1669687489
Entity type
Organization (NPI-2)
Legal business name
William Beaumont Army Medical Center
Organization subpart
Yes
Enumeration date
May 14, 2007
Certification date
Nov 8, 2024
Last updated
Nov 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient––Yes

Other names

  • Mendoza Soldier Family Care Clinic (Doing Business As)

Practice location

Ssg Sims Street Bldg 11335
Mendoza Soldier Family Care Clinic
El Paso, TX 79920

Phone 915-742-1107

Mailing address

5005 N Piedras St
Attn Treasurer'S Office
El Paso, TX 79920-5001

Phone 915-569-2444

Authorized official

Jose Cruz-Melendez
Ubo Manager
9157428291

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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