Organization
MADIGAN ARMY MEDICAL CTR
Active
Parent organization
MADIGAN ARMY MEDICAL CTR
Other names
UMATILLA ARMY DEPOT OHC
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
78798 ORDNANCE RD, HERMISTON, OR 97838-9108
(541) 564-5215
Mailing address
9040A JACKSON AVE, ATTN: MCHJ-CSA-U, TACOMA, WA 98431-0001
(253) 968-6598
Taxonomy
Speciality
Code
Description
License number
State
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841390077
PARENT FACILITY NPI
—
Enumeration date
05/08/2007
Last updated
04/13/2015
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