RAYMOND W. BLISS HEALTH CEMTER – NPI #1811960149
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.

RAYMOND W. BLISS HEALTH CEMTER is an AHC clinic located in FORT HUACHUCA, AZ. NPPES has assigned the NPI number 1811960149 to RAYMOND W. BLISS HEALTH CEMTER on February 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 RAYMOND W. BLISS HEALTH CEMTER below.

NPI Profile for
RAYMOND W. BLISS HEALTH CEMTER

NPI Number
1811960149
Enumeration Date

(more than 20 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
RAYMOND W. BLISS HEALTH CEMTER
Primary location
2240 E. WINROW AVE.
MEDDAC
FORT HUACHUCA, AZ 85613
Phone: (520) 538-1546 Fax:
Mailing address
600 CHANTILLY DR
SIERRA VISTA, AZ 85635-4732
Phone: (520) 459-6698 Fax:
Organization Subpart
No
Authorized Official
GUADALUPE VAN HUSS
NURSE
Phone: (520) 538-1546
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)
AZ LP028575

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.