# WEED ARMY COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDDAC Fort Irwin, CA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114975513
- **Authorized official:** MS. VICTORIA REGINA DAVIS RN (HEAD NURSE)
- **Authorized official phone:** (760) 380-5183

## Contact information

- **Practice address:** BUILDING 170, FORT IRWIN, CA 92310
- **Practice address phone:** (760) 380-5183
- **Mailing address:** 15752 SCOTT DR, FONTANA, CA 92336-5046
- **Mailing address phone:** (951) 235-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 481436 | CA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020
