# WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109,FORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124197017
- **Authorized official:** MR. WILLIAM JAMES PRIDGEN LPN EMT (NCOIC LPN WAEDMASTER)
- **Authorized official phone:** (760) 380-3144

## Contact information

- **Practice address:** 4TH ST INNERLOOP, USA MEDDAC, FORT IRWIN, CA 92310-5109
- **Practice address phone:** (760) 380-3144
- **Mailing address:** PO BOX 105109, FORT IRWIN, CA 92310-5109
- **Mailing address phone:** (760) 380-3144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | LP00045663 | WA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020