Meddac-Wach is a Military Hospital in Fort Irwin, California. Meddac-Wach practices all healthcare services and medical treatments related to Military Hospital. The NPI Number for Meddac-Wach is 1720018757. The last update date is 2020-08-22.
Meddac-Wach's current location address is 5092 Superior Valley Ct # B, Fort Irwin, California. You can contact this provider via phone number 7603868320. The mailing address for Meddac-Wach is 5092 Superior Valley Ct # B, Fort Irwin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Meddac-Wach |
|---|---|
| Address | 5092 Superior Valley Ct # B, Fort Irwin, California |
| Phone Number | 7603868320 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LPN |
|---|---|
| Authorized Official Name | Irby Maritsa |
| Telephone Number | 7603807343 |
NPI Number Detail
| NPI Number | 1720018757 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5092 Superior Valley Ct # B |
|---|---|
| City | Fort Irwin |
| State | California (CA) |
| Post Code | 923102046 |
| Phone Number | 7603868320 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Hospital |
|---|---|
| Taxonomy | 286500000X |
| Licence No | PN5167255 |
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Definition: A health care facility operated by the Department of Defense. |
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What is the unique 10-digit identification code assigned to Meddac-Wach by the Centers for Medicare & Medicaid Services?
The Meddac-Wach has been issued the NPI (National Provider Identifier) 1720018757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Meddac-Wach's facilities are geographically located?
The facilities of Meddac-Wach are physically situated at the following location: 5092 Superior Valley Ct # B, Fort Irwin, CA, 923102046.
What is Meddac-Wach's specialized field of practice, and what is the corresponding taxonomy classification code?
The Meddac-Wach's area of specialization is Military Hospital, and the corresponding taxonomy code that categorizes this field of practice is 286500000X.
When did Meddac-Wach receive its 1720018757 assignment?
The Meddac-Wach was assigned its 1720018757 on 2006-07-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Meddac-Wach's details last updated?
The information pertaining to the Meddac-Wach, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY