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Weed Army Community Hospital

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Fort Irwin, CA. Organization (NPI-2).

NPI number1780968321
StatusActive
Last updated in NPPESApr 7, 2015

Details

NPI
1780968321
Entity type
Organization (NPI-2)
Legal business name
Weed Army Community Hospital
Organization subpart
Yes
Enumeration date
Sep 30, 2011
Last updated
Apr 7, 2015

Taxonomy and licenses

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

Other names

  • Tmc-1-Irwin (Doing Business As)

Practice location

Building 295 Avenue B
Fort Irwin, CA 92310

Phone 760-380-6628

Mailing address

4th Street
Bldg 166 Rm 109
Fort Irwin, CA 92310-5109

Phone 760-380-5213

Authorized official

Derreck Summers
C, Pad
7603803392

Is something wrong?

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Other Military/U.S. Coast Guard Outpatient Clinic/Center providers in Fort Irwin, CA

All 6 Military/U.S. Coast Guard Outpatient Clinic/Center providers in Fort Irwin · All 281 providers in Fort Irwin

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