Organization · NPI-2

Illesheim Health Clinic

Clinic/Center · Apo, AE

NPI number1447576574
StatusActive
Last updated in NPPESApr 14, 2010

Details

NPI
1447576574
Entity type
Organization (NPI-2)
Legal business name
Illesheim Health Clinic
Organization subpart
No
Enumeration date
Apr 14, 2010
Last updated
Apr 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center233830NCYes

Practice location

Cmr 416 Box C
Apo, AE 09140

Phone 09841835119

Mailing address

Cmr 416 Box C
Apo, AE 09140-9997

Authorized official

May Joyce Vertido
Cpt/Clinic Chief Nurse
01622976633

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 Clinic/Center providers in Apo, AE