Organization Name: | TRIPLER ARMY MEDICAL CENTER |
NPI Number: | 1114230109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HUGH KEEL (PRMC UBO) |
Mailing Address: | 91-1010 Shangrila St Suite 100 Kapolei |
State: | HI US |
Postal Code: | 967072161 |
Phone Number: | 8084333418 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |