Provider Demographics
NPI:1477039840
Name:CARL R DARNALL ARMY MEDICAL CENTER
Entity Type:Organization
Organization Name:CARL R DARNALL ARMY MEDICAL CENTER
Other - Org Name:FORT HOOD MEDICAL HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD HEALTH INSURANCE TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-288-8381
Mailing Address - Street 1:36065 SANTA FE AVE
Mailing Address - Street 2:BOX 313
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5060
Mailing Address - Country:US
Mailing Address - Phone:254-288-8381
Mailing Address - Fax:
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-285-6270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARL R DARNALL ARMY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient