1437126562 NPI number — ARMY COMMUNITY HEALTH NURSING/MADIGAN ARMY MEDICAL CENTER

Table of content: (NPI 1437126562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437126562 NPI number — ARMY COMMUNITY HEALTH NURSING/MADIGAN ARMY MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMY COMMUNITY HEALTH NURSING/MADIGAN ARMY MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437126562
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
51 RUSHMORE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15235-2033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-795-3647
Provider Business Mailing Address Fax Number:
253-968-4389

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2120 S 48TH ST
Provider Second Line Business Practice Location Address:
ROOM 106
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98409-7152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-475-6565
Provider Business Practice Location Address Fax Number:
253-475-6562
Provider Enumeration Date:
03/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HEMINGWAY
Authorized Official First Name:
ANGELENE
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF NURSE OF ACHN
Authorized Official Telephone Number:
253-968-4382

Provider Taxonomy Codes

  • Taxonomy code: 286500000X , with the licence number:  RN 189211L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com