Provider Demographics
NPI:1437126562
Name:ARMY COMMUNITY HEALTH NURSING/MADIGAN ARMY MEDICAL CENTER
Entity Type:Organization
Organization Name:ARMY COMMUNITY HEALTH NURSING/MADIGAN ARMY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSE OF ACHN
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMINGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LTC/AN
Authorized Official - Phone:253-968-4382
Mailing Address - Street 1:51 RUSHMORE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2033
Mailing Address - Country:US
Mailing Address - Phone:412-795-3647
Mailing Address - Fax:253-968-4389
Practice Address - Street 1:2120 S 48TH ST
Practice Address - Street 2:ROOM 106
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7152
Practice Address - Country:US
Practice Address - Phone:253-475-6565
Practice Address - Fax:253-475-6562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN 189211L286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital