# RAYMOND W. BLISS HEALTH CEMTER

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

## Provider details

- **NPI number:** 1811960149
- **Authorized official:** MRS. GUADALUPE VAN HUSS LPN (NURSE)
- **Authorized official phone:** (520) 538-1546

## Contact information

- **Practice address:** 2240 E. WINROW AVE., MEDDAC, FT. HUACHUCA, AZ 85613
- **Practice address phone:** (520) 538-1546
- **Mailing address:** 600 CHANTILLY DR, SIERRA VISTA, AZ 85635-4732
- **Mailing address phone:** (520) 459-6698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | LP028575 | AZ | Yes |

## Other

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