Organization
WEED ARMY COMMUNITY HOSPITAL
Active
Parent organization
WEED ARMY COMMUNITY HOSPITAL
Other names
AHC YUMA PROVING GROUND
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEED ARMY COMMUNITY HOSPITAL
Authorized official
DERRECK SUMMERS (C, PAD)
(760) 380-3392
Entity
Organization
Contact information
Practice address
301 C ST, BLDG 990, YUMA, AZ 85365-9498
(928) 328-2666
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 NPI
—
Enumeration date
05/12/2007
Last updated
04/07/2015
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