NPI Code Details Logo

NPI 1093889552

NPI 1093889552 : LANDSTUHL REGIONAL MEDCEN : APO, AE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093889552
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LANDSTUHL REGIONAL MEDCEN 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/17/2006
-----------------------------------------------------
    Last Update Date     |    05/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    CMR 402 BLDG 3700 
-----------------------------------------------------
    City                 |    APO
-----------------------------------------------------
    State                |    AE
-----------------------------------------------------
    Zip                  |    09180
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    01149637194645456
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    CMR 402 BLDG 3700 ERMC UBO
-----------------------------------------------------
    City                 |    APO
-----------------------------------------------------
    State                |    AE
-----------------------------------------------------
    Zip                  |    09180
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    01149637194647400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    UBO MANAGER
-----------------------------------------------------
    Name                 |     HELEN  MCLOUGHLIN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    11-496-3719
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM1100X
-----------------------------------------------------
    Taxonomy Name        |    Military/U.S. Coast Guard Outpatient Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM1101X
-----------------------------------------------------
    Taxonomy Name        |    Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2865M2000X
-----------------------------------------------------
    Taxonomy Name        |    Military General Acute Care Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.