Healthcare Provider Details

I. General information

NPI: 1821419524
Provider Name (Legal Business Name): CARL R DARNALL ARMY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 07/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 KAYDENCE CT
KILLEEN TX
76542
US

IV. Provider business mailing address

36065 SANTA FE AVE BOX 313
FORT HOOD TX
76544-5060
US

V. Phone/Fax

Practice location:
  • Phone: 254-287-5410
  • Fax:
Mailing address:
  • Phone: 254-288-8381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1100X
TaxonomyMilitary/U.S. Coast Guard Outpatient Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ROPPLE
Title or Position: LEAD HEALTH INSURANCE TECHNICIAN
Credential:
Phone: 254-288-8381