| NPI | 1225081136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOLMES Authorized Official/ Chief Ubo 571-801-6238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Additional Taxonomies | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-03-14 |