| NPI | 1225083249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA R HAM Medical Staff Manager 573-596-0417 |
| Organization Subpart ? | No |
| 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 | |
| 332000000X MilitaryU.S. Coast Guard Pharmacy | |
| 341800000X MilitaryU.S. Coast Guard Transport | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-05-09 |