| NPI | 1386859387 |
|---|---|
| Doing Business As | OCCUPATIONAL HLTH CLINIC-TACOM |
| Entity Type | Organization |
| Authorized Contact | BARBARA HORNBACK Ubo Manager 502-624-9870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-04-02 |