resolve contracting problems, and monitor petition and coordinates matters pertaining to
the contracting mission for which the commander is responsible.
b. Organization. The agency, under the DCA/CS (HSC), consists of the
Central Contracting Office, Fort Sam Houston, Texas; Letterman Army Medical Center,
Presido of San Francisco; Madigan Army Medical Center, Tacoma Washington; Tripler
Army Medical Center, Hawii; and William Beaumont Army Medical Center, El Paso
a. The Surgeon General exercises technical supervision over Army health
service support worldwide. Within CONUS, the Commander, Health Services
Command, commands all MTFs.
b. Health service support to eligible beneficiaries in CONUS is provided on an
area basis. There are seven HSR, each of which is the responsibility of a MEDCEN.
These regions are further subdivided into HSA, each of which is the responsibility of the
MEDCEN or MEDDAC located within that area. The commander of the
MEDCEN/MEDDAC also commands the hospital and serves as the installation's
director of health services. In some instances, a MEDCEN may also be an installation.
c. The principal difference between a MEDCEN and a MEDDAC is that a
MEDCEN always includes a hospital which provides specialized treatment, professional
training programs, referral services, and laboratory support for MEDDAC's within its
d. MEDCEN's and MEDDAC's provide essential health services to smaller
installations and activities within their assigned HSA by establishing clinics as required.
Medical clinics are extensions of the hospital's Department 'of Primary Care and
e. Other major activities of the Health Services Command include the ADL; the
AHS, US Army; the USAEHA; the US Army HCSSA; the US Army PJAS&BA; the US
HCSCIA; and the US Army HSCAA.