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MADIGAN ARMY MEDICAL CTR NPI 1720291453


NPI Information

NPI: 1720291453
Provider Name: MADIGAN ARMY MEDICAL CTR

Doing Business As: UMATILLA ARMY DEPOT OHC

Classification: Clinic/Center - 261QM1101X
Entity Type: Organization

Specialization: Military and U.S. Coast Guard Ambulatory Procedure

Address:
78798 ORDNANCE RD
HERMISTON, OR
ZIP 97838
Phone: (541) 564-5215
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MADIGAN ARMY MEDICAL CTR is a military and u.s. coast guard ambulatory procedure clinic center in Hermiston, OR. 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. MADIGAN ARMY MEDICAL CTR NPI is 1720291453. The provider is registered as an organization entity type.
The provider Is Doing Business As Umatilla Army Depot Ohc.

The provider's business location address is:

78798 ORDNANCE RD
HERMISTON, OR
ZIP 97838-108
Phone: (541) 564-5215

The provider's authorized official is Karen Mady .
The authorized official title is Tpc Manager and has the following contact phone number (253) 968-6598.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 4/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1101XClinic/CenterMilitary and U.S. Coast Guard Ambulatory ProcedureYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11841390077OTHERPARENT FACILITY NPI
2OTH000MEDICARE UPIN
3VAD000MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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