Healthcare Provider Details

I. General information

NPI: 1407171432
Provider Name (Legal Business Name): LANDSTUHL REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 405 BOX 1325
APO AE
09034-0014
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 13144856720
  • Fax:
Mailing address:
  • Phone: 131-448-7315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License NumberRP5558
License Number StateNM

VIII. Authorized Official

Name: RUTH SCHIRRA
Title or Position: PHARMACY SERVICES
Credential:
Phone: 131-448-7315