Organization
AMC MADIGAN-FT LEWIS
Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
AMC MADIGAN-LEWIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC MADIGAN-FT LEWIS
Authorized official
NANCY LAMBERT (UNIFORM BUSINESS OFFICE CHIEF)
(253) 968-1110
Entity
Organization
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
9040 JACKSON AVE, ATTN: MCHJ-CSR-U, TACOMA, WA 98431-1100
(253) 968-1110
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3318904
—
WA
01
—
4927464
NCPDP
WA
01
—
AN2598588
MEDCO
WA
Enumeration date
09/25/2006
Last updated
05/22/2025
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