Brooke Army Medical Center in San Antonio - Military/u.s. Coast Guard Outpatient
Brooke Army Medical Center - NPI 1912102955
Brooke Army Medical Center is a Military/u.s. Coast Guard Outpatient in San Antonio, Texas. Brooke Army Medical Center practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Brooke Army Medical Center is 1912102955. The last update date is 2019-02-08.
Brooke Army Medical Center's current location address is 3551 Roger Brooke Dr, San Antonio, Texas. You can contact this provider via phone number 2109168558. The mailing address for Brooke Army Medical Center is 3551 Roger Brooke Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brooke Army Medical Center |
|---|---|
| Address | 3551 Roger Brooke Dr, San Antonio, Texas |
| Phone Number | 2109168558 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C, UBO |
|---|---|
| Authorized Official Name | Ballard Clenton |
| Telephone Number | 2109168561 |
NPI Number Detail
| NPI Number | 1912102955 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2019-02-08 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782344513 |
| Phone Number | 2109168558 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
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Definition: 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-dep |
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What is the unique 10-digit identification code assigned to Brooke Army Medical Center by the Centers for Medicare & Medicaid Services?
The Brooke Army Medical Center has been issued the NPI (National Provider Identifier) 1912102955, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brooke Army Medical Center is geographically located?
The Brooke Army Medical Center is physically situated at the following location: 3551 Roger Brooke Dr, San Antonio, TX, 782344513.
What is the Brooke Army Medical Center's specialty and taxonomy code?
The Brooke Army Medical Center's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912102955 to Brooke Army Medical Center?
The Centers for Medicare & Medicaid Services originally issued the 1912102955 to Brooke Army Medical Center on 2007-06-19.
When was the information regarding Brooke Army Medical Center most recently updated?
The details pertaining to the Brooke Army Medical Center, including its address, specialty, and other relevant information, were last refreshed on 2019-02-08.