# RAYMOND W. BLISS ARMY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dept of Military Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083685507
- **Authorized official:** MRS. REBECCA LYNN BROWN RN, BSN (HEAD NURSE, DEPT OF MIL MED)
- **Authorized official phone:** (520) 533-9134

## Contact information

- **Practice address:** 2240 E. WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613-7079
- **Practice address phone:** (520) 533-2627
- **Mailing address:** 3722 E MANDAN DR, SIERRA VISTA, AZ 85650-9774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | RN129279 | AZ | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020
