TMC SGT BLEAK-SILL – NPI #1124234364
Clinic/Center

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

TMC SGT BLEAK-SILL is an AHC clinic located in FORT SILL, OK. NPPES has assigned the NPI number 1124234364 to TMC SGT BLEAK-SILL on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TMC SGT BLEAK-SILL” is a dba name, the actual legal business name for this organization is REYNOLDS ARMY COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 11 years ago on Apr 07, 2015. 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 TMC SGT BLEAK-SILL below.

NPI Profile for
REYNOLDS ARMY COMMUNITY HOSPITAL

NPI Number
1124234364
Enumeration Date

(more than 19 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
REYNOLDS ARMY COMMUNITY HOSPITAL
Doing Business As (dba): TMC SGT BLEAK-SILL
Primary location
4301 MOW WAY ROAD
SGT BLEAK TROOP MEDICAL CLINIC
FORT SILL, OK 73503
Phone: (580) 558-2800 Fax:
Mailing address
3009 NW WILSON ROAD
ATTN MCUA-PAD-PF
FORT SILL, OK 73503-9042
Phone: (580) 458-2793 Fax:
Organization Subpart
Yes - TMC SGT BLEAK-SILL is subpart of another organization.
Authorized Official
CHARLES CHITTUM
UBO MANAGER
Phone: (580) 558-2793
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
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

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.