Healthcare Provider Details

I. General information

NPI: 1578904819
Provider Name (Legal Business Name): US ARMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAHC SCHWEINFURT UNIT 25850 BOX 7
APO AE
09033
US

IV. Provider business mailing address

USAHC SCHWEINFURT UNIT 25850 BOX 7
APO AE
09033
US

V. Phone/Fax

Practice location:
  • Phone: 09721966222
  • Fax:
Mailing address:
  • Phone: 09721966222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberRN9205470
License Number StateFL

VIII. Authorized Official

Name: CHADWICK BOWERS
Title or Position: UNIT COMMANDER
Credential:
Phone: 09721966222