| NPI | 1114975513 |
|---|---|
| Other Name | MEDDAC FORT IRWIN, CA |
| Entity Type | Organization |
| Authorized Contact | VICTORIA REGINA DAVIS Head Nurse 760-380-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA 481436) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |