# MADIGAN ARMY MEDICAL CTR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADIGAN ARMY MEDICAL CTR
- **Other names:** AVIATION SCMH-JBLM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245663830
- **Legal business name:** MADIGAN ARMY MEDICAL CTR
- **Authorized official:** KAREN MADY (TPC MANAGER)
- **Authorized official phone:** (253) 968-6598

## Contact information

- **Practice address:** 9119 MIL PARK AVE, BLDG 9119, JOINT BASE LEWIS-MCCHORD, WA 98433
- **Practice address phone:** (253) 477-0803
- **Mailing address:** 9040A JACKSON AVE, ATTN: MCHJ-CSA-U, TACOMA, WA 98431-0001
- **Mailing address phone:** (253) 968-6598

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 04/13/2015