Healthcare Provider Details

I. General information

NPI: 1912956558
Provider Name (Legal Business Name): NH YOKOSUKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 475 BX 1
FPO AP
96350-9998
US

IV. Provider business mailing address

PSC 475 BOX 1 ATTN DRM/UBO
FPO AP
96350-1200
US

V. Phone/Fax

Practice location:
  • Phone: 671-344-7022
  • Fax:
Mailing address:
  • Phone: 671-344-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARLEEN DELGADO
Title or Position: UBO MANAGER
Credential:
Phone: 671-344-7022