United States Army
Clinic/Center, Military Outpatient Operational (Transportable) Component in Fort Rucker, AL. Organization (NPI-2).
NPI number1326320144
StatusActive
Last updated in NPPESSep 19, 2011
Details
- NPI
- 1326320144
- Entity type
- Organization (NPI-2)
- Legal business name
- United States Army
- Organization subpart
- No
- Enumeration date
- Sep 19, 2011
- Last updated
- Sep 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | B1951717 | OH | Yes |
Practice location
301 Andrews AvenueFort Rucker, AL 36362
Phone 251-213-8533
Mailing address
301 Andrews AvenueFort Rucker, AL 36362
Phone 251-213-8533
Authorized official
Britiney C Hughes
Health Care Specialist
2512138533
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