Organization
MADIGAN ARMY MEDICAL CTR
Active
Parent organization
MADIGAN ARMY MEDICAL CTR
Other names
USADC FT. LEWIS CDI
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
BUILDING 2140, LIGGETT AVENUE, ROOM 2050, FORT LEWIS, WA 98433
(253) 967-5822
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
Enumeration date
06/25/2007
Last updated
04/13/2015
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