William Beaumont Army Medical Center
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in El Paso, TX. Organization (NPI-2).
NPI number1982183737
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1982183737
- Entity type
- Organization (NPI-2)
- Legal business name
- William Beaumont Army Medical Center
- Organization subpart
- Yes
- Enumeration date
- Aug 13, 2018
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Other names
- Desert Sage Medical Home (Other Name)
Practice location
7400 Helen Of TroyEl Paso, TX 79912
Phone 915-742-2121
Mailing address
5005 N Piedras StAttn Treasuer'S Office
El Paso, TX 79920-5001
Phone 915-742-6199
Authorized official
Natividad Gonzalez
Medical Services Accounts Officer
9157422753
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