Organization
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Active
Parent organization
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Other names
Rio Bravo Medical Home-Bliss
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Authorized official
JOSE CRUZ-MELENDEZ (UBO MANAGER)
(915) 742-8291
Entity
Organization
Contact information
Practice address
10460 VISTA DEL SOL DR, EL PASO, TX 79925-7947
(915) 742-2121
Mailing address
5005 N PIEDRAS ST, ATTN TREASURER'S OFFICE, EL PASO, TX 79920-5001
(915) 569-2444
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295838787
PARENT FACILITY WILLIAM BEAUMONT ARMY MEDICAL CENTER NPI
—
Enumeration date
11/06/2012
Last updated
01/07/2013
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