# MADIGAN ARMY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1336410646
- **Authorized official:** DR. MICHAEL LOUGHREN CRNA, PHD (CHIEF CRNA)
- **Authorized official phone:** (253) 968-2960

## Contact information

- **Practice address:** MADIGAN ARMY MEDICAL CTR, BLDG 9040 FITZSIMMONS DRIVE, TACOMA, WA 98431-0001
- **Practice address phone:** (253) 968-2235
- **Mailing address:** MADIGAN ARMY MEDICAL CTR, BLDG 9040 FITZSIMMONS DRIVE, TACOMA, WA 98431-0001
- **Mailing address phone:** (253) 968-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | RN 60186795 | WA | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012