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NPI Code Detail

MEDICARE: DEWITT ARMY COMMUNITY HOSPITAL

MEDICARE: DEWITT ARMY COMMUNITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
2332000000XMilitary/U.S. Coast Guard Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12168778OTHERPK

General Provider Information

NPI Number : 1447783378
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEWITT ARMY COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 9501 FARRELL RD
Second Line : STE GC 11
City : FORT BELVOIR
State : VA
Zip : 22060-5901
Country : US
Telephone Number : 301-295-4662
Fax Number :
Provider Business Practice Location Address
First Line : 10580 ARROWHEAD DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-7301
Country : US
Telephone Number : 301-400-0912
Fax Number : 301-295-4662
Authorized Official
Title or Position : CHIEF DHA PASS
Name : HECTOR MORALES
Credential :
Telephone Number : 210-536-6650
Provider Enumeration Date : 04/07/2017
Last Update Date : 04/07/2017

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Directions to “DEWITT ARMY COMMUNITY HOSPITAL ” Practice Location

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