Organization
AMC BAMC-FSH
Active
Organization
AMC BAMC-FSH
Active
Parent organization
AMC BAMC-FSH
Other names
SAN ANTONIO MILITARY MEDICAL CENTER-SAMMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC BAMC-FSH
Authorized official
CHARON MONIQUE SEYMORE (UBO)
(210) 916-8563
Entity
Organization
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234
(210) 916-4682
Mailing address
3551 ROGER BROOKE DR, MCHE-COU-T, DEPT 201, SAN ANTONIO, TX 78234-4513
(210) 916-8558
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
2865M2000X
Military General Acute Care Hospital
Primary
—
—
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
341800000X
Military/U.S. Coast Guard Transport
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35JK
BC BS PROVIDER
TX
01
—
4503884
NCPDP
—
01
—
AN2598588
MEDCO
—
01
—
HH6041
BC/BS PROVIDER NUMBER
TX
Enumeration date
09/28/2006
Last updated
06/30/2025
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