| NPI | 1710967526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA LYNN HANSKEN Air Force Uniform Business Office 703-588-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Additional Taxonomies | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| 261QM1101X Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure | |
| 332000000X Military/U.S. Coast Guard Pharmacy | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-11-15 |