WILFORD HALL MEDICAL CENTER is a military and u.s. coast guard ambulatory procedure clinic center in Lackland A F B, TX. The provider is that part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. WILFORD HALL MEDICAL CENTER NPI is 1275511776. The provider is registered as an organization entity type.
The provider Other Name Is 59 Mdw Adbs.
The provider's business location address is:
2200 BERGQUIST DR
SUITE 1 ADBS
LACKLAND A F B, TX
ZIP 78236-907
Phone: (210) 292-7575
Fax: (210) 292-2592
The provider's authorized official is Theresa M. Mitchell .
The authorized official title is Air Force Ubo Analyst and has the following contact phone number (703) 681-7613.
The enumeration date for this NPI number is 1/4/2006 and was last updated on 1/13/2015.