Organization · NPI-2

121st General Hospital(Brain Allgood Army Community Hospital)

Military Hospital · Apo, AP

NPI number1417287368
StatusActive
Last updated in NPPESDec 28, 2009

Details

NPI
1417287368
Entity type
Organization (NPI-2)
Legal business name
121st General Hospital(Brain Allgood Army Community Hospital)
Organization subpart
No
Enumeration date
Dec 28, 2009
Last updated
Dec 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military Hospital0202202906VAYes
2865M2000X Military Hospital, Military General Acute Care Hospital0202202906VA

Practice location

Unit 15549 Box 59
Apo, AP 96205-5549

Phone 82279173275 · Fax 82279176034

Mailing address

Dodds-K Sahs
Unit 15549 Box 59
Apo, AP 96205-5549

Phone 82279173275 · Fax 82279176034

Authorized official

Dorene Denise Luke-Walton
Pharmacist/Pyxis Administrator
82279173275

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Military Hospital providers in Apo, AP