Organization
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Active
Parent organization
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Other names
MENDOZA SOLDIER FAMILY CARE CLINIC
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
SSG SIMS STREET BLDG 11335, MENDOZA SOLDIER FAMILY CARE CLINIC, EL PASO, TX 79920
(915) 742-1107
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 AMC NPI
—
Enumeration date
05/14/2007
Last updated
11/08/2024
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