# RAYMOND W BLISS ARMY HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558332080
- **Authorized official:** MRS. LINDA SUE HALDORSON LPN (LICIENSED PRACTICAL NURSE)
- **Authorized official phone:** (520) 533-2627

## Contact information

- **Practice address:** 2240 WINROW RD, FT HUACHUCA, AZ 85613-5080
- **Practice address phone:** (520) 533-2627
- **Mailing address:** 7935 E CONNOR RD, SIERRA VISTA, AZ 85650-9081
- **Mailing address phone:** (520) 803-6793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | LP028519 | AZ | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020