# RAYMOND W. BLISS ARMY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAYMOND W. BLISS ARMY HEALTH CENTER
- **Other names:** USADC-HUACHUCA RUNION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306049895
- **Legal business name:** RAYMOND W. BLISS ARMY HEALTH CENTER
- **Authorized official:** FAYE LIVINGSTON (UBO MANAGER)
- **Authorized official phone:** (520) 533-9685

## Contact information

- **Practice address:** 45005 ARIZONA STREET, FORT HUACHUCA, AZ 85613
- **Practice address phone:** (520) 533-1479
- **Mailing address:** 2240 E WINROW AVE, ATTN MCXJ-RMD-MSAO, FORT HUACHUCA, AZ 85613-7079
- **Mailing address phone:** (520) 533-9685

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 11/17/2015