Provider Demographics
NPI:1649624453
Name:MADIGAN ARMY MEDICAL CENTER
Entity type:Organization
Organization Name:MADIGAN ARMY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MASKO
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-968-0476
Mailing Address - Street 1:9040A JACKSON AVE
Mailing Address - Street 2:ATT: MCJJ-CLS-E
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:254-968-0476
Mailing Address - Fax:253-968-3154
Practice Address - Street 1:9040A JACKSON AVE
Practice Address - Street 2:ATT: MCHJ-C-E
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-0476
Practice Address - Fax:253-968-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00054618282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital