| NPI | 1891899274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HORNBACK Chief, Ubo 502-624-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Additional Taxonomies | 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-01-09 |