| Organization Name: | KWAJALEIN RANGE SERVICES |
| NPI Number: | 1003941675 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINN EZELL (SUPERVISOR, BUSINESS OPERATIONS) |
| Mailing Address: | Ocean Road Box 1702 Apo |
| State: | AP UM |
| Postal Code: | 96555 |
| Phone Number: | 8053552220 |
| Fax Number: | 8053551885 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | NONE -NOT IN U.S. |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |