Brooke Army Medical Center
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1538251764
Brooke Army Medical Center is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Brooke Army Medical Center practices in San Antonio, TX. The NPI Number for Brooke Army Medical Center is 1538251764 and holds a License No. (Texas).
The current practice location address for Brooke Army Medical Center is 3551 Roger Brooke Dr, San Antonio, TX and can be reached out via phone at 210-916-4682.
Location: 3551 Roger Brooke Dr, San Antonio, TX, 78234-4513
Provider Profile Details
NPI Number
1538251764
Provider Name
Brooke Army Medical Center
Credential
Provider Entity Type
Organization
Address
3551 Roger Brooke Dr, San Antonio, TX, 78234-4513
Phone Number
210-916-4682
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN2598588 | 01 | MEDCO | |
| 35JK | 01 | TX | BC BS PROVIDER |
| 4503884 | 01 | NCPDP | |
| HH6041 | 01 | TX | BC/BS PROVIDER NUMBER |
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234
Phone Number
210-916-4682
Fax Number
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234
Phone Number
210-916-4682
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
License No.
()
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-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military and U.S. Coast Guard Ambulatory Procedure
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 3
Type
Hospitals
Classification
Military Hospital
Speciality
Military General Acute Care Hospital
Taxonomy
License No.
()
Definition
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Military/U.S. Coast Guard Transport
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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