Healthcare Provider Details

I. General information

NPI: 1427023332
Provider Name (Legal Business Name): US NAVY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USNH BOX 73
FPO AE
09589-1000
CU

IV. Provider business mailing address

USNH BOX 73
FPO AE
09589-1000
CU

V. Phone/Fax

Practice location:
  • Phone: 011539972360
  • Fax: 2365
Mailing address:
  • Phone: 011539972360
  • Fax: 2365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. EARLENE S HELMS
Title or Position: CREDENTIAL
Credential: PROFESSIONAL AFFAIRS
Phone: 153-997-2360