Organization · NPI-2
39th Medgrp-Incirlik
Clinic/Center, Adult Mental Health · Apo, AE
NPI number1992061790
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1992061790
- Entity type
- Organization (NPI-2)
- Legal business name
- 39th Medgrp-Incirlik
- Organization subpart
- Yes
- Enumeration date
- Apr 5, 2012
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 261QR0206X | Clinic/Center, Radiology, Mammography | – | – |
Practice location
Unit 7095 Box 185Apo, AE 09824-7095
Phone 011903223168794
Mailing address
Unit 7095, Box 185Apo, AE 09824-5185
Phone 01190323168764
Authorized official
Jen Lewandowski
Dha Financial
7038174030
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