MENDOZA SOLDIER FAMILY CARE CLINIC – NPI #1669687489
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.

MENDOZA SOLDIER FAMILY CARE CLINIC is an AHC clinic located in EL PASO, TX. NPPES has assigned the NPI number 1669687489 to MENDOZA SOLDIER FAMILY CARE CLINIC on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MENDOZA SOLDIER FAMILY CARE CLINIC” is a dba name, the actual legal business name for this organization is WILLIAM BEAUMONT ARMY MEDICAL CENTER. 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 last updated on Nov 08, 2024. 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 MENDOZA SOLDIER FAMILY CARE CLINIC below.

NPI Profile for
WILLIAM BEAUMONT ARMY MEDICAL CENTER

NPI Number
1669687489
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
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Doing Business As (dba): MENDOZA SOLDIER FAMILY CARE CLINIC
Primary location
SSG SIMS STREET BLDG 11335
MENDOZA SOLDIER FAMILY CARE CLINIC
EL PASO, TX 79920
Phone: (915) 742-1107 Fax:
Mailing address
5005 N PIEDRAS ST
ATTN TREASURER'S OFFICE
EL PASO, TX 79920-5001
Phone: (915) 569-2444 Fax:
Organization Subpart
Yes - MENDOZA SOLDIER FAMILY CARE CLINIC is subpart of another organization.
Authorized Official
JOSE CRUZ-MELENDEZ
UBO MANAGER
Phone: (915) 742-8291
Updated
Certification Date
Nov 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MENDOZA SOLDIER FAMILY CARE CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPARENT FACILITY WILLIAM BEAUMONT AMC NPI1295838787
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.