59 Mdw Adbs

LBN: Wilford Hall Medical Center
59 Mdw Adbs is an health care organization with primary practice located at 2200 Bergquist Dr Suite 1 Adbs, Lackland A F B TX 78236-9907. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure is the primary health care specialty. Wilford Hall Medical Center can be contacted via phone (210) 292-7575, or through Mitchell, Theresa M. via phone (703) 681-7613.

Contact Information

Primary practice address
2200 Bergquist Dr Suite 1 Adbs Lackland A F B TX 78236-9907
Phone: (210) 292-7575
Fax: (210) 292-2592
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Theresa M.
Phone: (703) 681-7613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1275511776
LBN Legal business name Wilford Hall Medical Center
DBA Doing business as 59 Mdw Adbs
Authorized official Mitchell, Theresa M.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275511776 NPPES
Texas MEDICAID 021757201
Texas Other 4596776
Texas Other HH6032

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