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Blanche Belle Manners, CCMA
Military Outpatient Operational (Transportable) Component Clinic/Center in Garden Ridge, Texas
NPI 1437382728

Blanche Belle Manners is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Rodman, TX and is specialized in Military Outpatient Operational (Transportable) Component. Blanche Belle Manners practices in Garden Ridge, TX and has the professional credentials of CCMA. The NPI Number for Blanche Belle Manners is 1437382728 and holds a License No. 12225011 (Texas).

The current practice location address for Blanche Belle Manners is 18945 Fm 2252 Ste 115, Garden Ridge, TX and can be reached out via phone at 210-651-0029. You can also correspond with Blanche Belle Manners through the mailing address at 13560 COUNTY ROUTE 68, RODMAN, NY - 13682-2159 (mailing address contact number: 315-232-4059).

Location: 18945 Fm 2252 Ste 115, Garden Ridge, TX, 13682-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437382728
Provider Name
Blanche Belle Manners
Credential
CCMA
Provider Entity Type
Individual
Gender
Female
Address
18945 Fm 2252 Ste 115, Garden Ridge, TX, 13682-2159
Phone Number
210-651-0029
Fax Number
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18945 Fm 2252 Ste 115
City
Garden Ridge
State
Texas
Zip
78266-2797
Phone Number
210-651-0029
Fax Number
person
Provider Business Mailing Address Details
Address
13560 County Route 68
City
Rodman
State
New York
Zip
13682-2159
Phone Number
315-232-4059
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
12225011 (New York)
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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