# WILLIAM BEAUMONT ARMY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM BEAUMONT ARMY MEDICAL CENTER
- **Other names:** Senior Leader Sustainment USASMA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326527177
- **Legal business name:** WILLIAM BEAUMONT ARMY MEDICAL CENTER
- **Authorized official:** NATIVIDAD GONZALEZ (MEDICAL SERVICES ACCOUNTS OFFICER)
- **Authorized official phone:** (915) 742-2753

## Contact information

- **Practice address:** 11291 SGT E CHURCHILL ST, FORT BLISS, TX 79918-8001
- **Practice address phone:** (915) 742-6199
- **Mailing address:** 5005 N PIEDRAS ST, ATTN TREASURER'S OFFICE, EL PASO, TX 79920-5001
- **Mailing address phone:** (915) 742-6199

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 11/08/2024