# AHC R W BLISS-HUACHUCA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AHC R W BLISS-HUACHUCA
- **Other names:** AHC R W BLISS-HUACHUCA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922181627
- **Legal business name:** AHC R W BLISS-HUACHUCA
- **Authorized official:** JESTINE VOLGENDE (UBO MANAGER)
- **Authorized official phone:** (520) 533-9685

## Contact information

- **Practice address:** 2240 E WINROW AVE, FT HUACHUCA, AZ 85613-7079
- **Practice address phone:** (520) 533-0447
- **Mailing address:** 2240 E WINROW AVE, ATTN MCXJ-RMD-MSAO, FT HUACHUCA, AZ 85613-7079
- **Mailing address phone:** (520) 533-9685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 05/21/2025