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Organization

MADIGAN ARMY MEDICAL CTR

Active
Parent organization
MADIGAN ARMY MEDICAL CTR
Other names
US ARMY HEALTH CLINIC-MCCHORD AFB
Organization subpart
Yes

Provider details

NPI number
Legal business name
MADIGAN ARMY MEDICAL CTR
Authorized official
KAREN MADY (TPC MANAGER)
(253) 968-6598
Entity
Organization

Contact information

Practice address
690 BARNES BLVD, MCCHORD AFB, WA 98438-1303
(253) 968-2965
Mailing address
9040A JACKSON AVE, ATTN: MCHJ-CSA-U, TACOMA, WA 98431-0001
(253) 968-6598

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
1841390077
PARENT FACILITY NPI
Enumeration date
08/26/2008
Last updated
04/13/2015
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