Basic Information
| Provider Information | |||||||||
| NPI: | 1578904819 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | US ARMY | ||||||||
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| Mailing Information | |||||||||
| Address1: | USAHC SCHWEINFURT | ||||||||
| Address2: | UNIT 25850 BOX 7 | ||||||||
| City: | APO | ||||||||
| State: | AE | ||||||||
| PostalCode: | 09033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 09721966222 | ||||||||
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| Practice Location | |||||||||
| Address1: | USAHC SCHWEINFURT | ||||||||
| Address2: | UNIT 25850 BOX 7 | ||||||||
| City: | APO | ||||||||
| State: | AE | ||||||||
| PostalCode: | 09033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 09721966222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2013 | ||||||||
| LastUpdateDate: | 10/02/2013 | ||||||||
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| AuthorizedOfficialLastName: | BOWERS | ||||||||
| AuthorizedOfficialFirstName: | CHADWICK | ||||||||
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| AuthorizedOfficialTitleorPosition: | UNIT COMMANDER | ||||||||
| AuthorizedOfficialTelephone: | 09721966222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | RN9205470 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.