NPI | 1780072272 |
---|---|
Doing Business As | ARMY INTREPID SPIRIT-HOOD |
Entity Type | Organization |
Authorized Contact | MICHELLE ROPPLE Lead Health Insurance Technician 254-288-8381 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2015-01-06 |
Last Update Date | 2018-07-17 |