Organization
MADIGAN ARMY MEDICAL CTR
Active
Parent organization
MADIGAN ARMY MEDICAL CTR
Other names
Madigan-South Sound Community Medical Home
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
3415 PACIFIC AVE SE, SUITE D1, OLYMPIA, WA 98501-2173
(253) 982-0412
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 BILLING NPI
—
Enumeration date
07/20/2010
Last updated
04/13/2015
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