Organization
ACH WEED-IRWIN
Active
Parent organization
ACH WEED-IRWIN
Other names
COMMUNITY M HLTH SVC-IRWIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH WEED-IRWIN
Authorized official
DERRECK SUMMERS (C, PAD)
(760) 380-3392
Entity
Organization
Contact information
Practice address
INNER LOOP BLDG 170, FORT IRWIN, CA 92310
(760) 380-3631
Mailing address
4TH STREET, BLDG 166 RM 109, FORT IRWIN, CA 92310-5109
(760) 380-5213
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
—
1275618514
PARENT FACILITY WEED ARMY COMMUNITY HOSPITAL
—
Enumeration date
05/14/2007
Last updated
06/13/2025
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