| NPI | 1205145695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BLACK Ipap Phase 2 Director 270-956-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |