USA MEDDAC, RWBAHC – NPI #1356700801
Clinic/Center

USA MEDDAC, RWBAHC is an AHC clinic located in FORT HUACHUCA, AZ. NPPES has assigned the NPI number 1356700801 to USA MEDDAC, RWBAHC on February 12, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for USA MEDDAC, RWBAHC below.

NPI Profile for
USA MEDDAC, RWBAHC

NPI Number
1356700801
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
USA MEDDAC, RWBAHC
Primary location
2240 WINROW AVE
FORT HUACHUCA, AZ 85613
Phone: (520) 533-9034 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRYSTAL QUINTANA
LICENSED PRACTICAL NURSE
Phone: (520) 533-9034
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
FL PN5193793

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.