# WEED ARMY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEED ARMY COMMUNITY HOSPITAL
- **Other names:** EBH CLINIC-IRWIN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891109799
- **Legal business name:** WEED ARMY COMMUNITY HOSPITAL
- **Authorized official:** DERRECK SUMMERS (C, PAD)
- **Authorized official phone:** (760) 380-3392

## Contact information

- **Practice address:** AVE B BLDG R190, WARRIOR CARE CENTER, FORT IRWIN, CA 92310
- **Practice address phone:** (760) 380-7171
- **Mailing address:** 4TH STREET BLDG 166 RM 109, FORT IRWIN, CA 92310-5109
- **Mailing address phone:** (760) 380-5213

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 04/07/2015