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Madigan Army Medical Ctr
Military/U.S. Coast Guard Pharmacy in North Fort Lewis, Washington
NPI 1992910806

Madigan Army Medical Ctr is a Military/U.S. Coast Guard Pharmacy based in Tacoma, WA. Madigan Army Medical Ctr practices in North Fort Lewis, WA. The NPI Number for Madigan Army Medical Ctr is 1992910806 and holds a License No. (Washington).

The current practice location address for Madigan Army Medical Ctr is Bldg 11582 17Th And C Street, North Fort Lewis, WA and can be reached out via phone at 253-966-1991.

Location: Bldg 11582 17Th And C Street, North Fort Lewis, WA, 98431-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992910806
Provider Name
Madigan Army Medical Ctr
Credential
Provider Entity Type
Organization
Address
Bldg 11582 17Th And C Street, North Fort Lewis, WA, 98431-0001
Phone Number
253-966-1991
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
AN2598588 01 MEDCO
1841390077 01 PARENT FACILITY NPI
institution
Provider Business Practice Location Address Details
Address
Bldg 11582 17Th And C Street
City
North Fort Lewis
State
Washington
Zip
98433
Phone Number
253-966-1991
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 11582 17Th And C Street
City
North Fort Lewis
State
Washington
Zip
98433
Phone Number
253-966-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military and U.S. Coast Guard Ambulatory Procedure
Taxonomy
261QM1101X
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
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.
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