Organization Name: | UNITED STATES NAVY |
NPI Number: | 1154569572 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN PAUL VECERE (SURFACE FORCE INDEPENDENT DUTY CORP) |
Mailing Address: | 7032 Star Dune Ave Twentynine Palms |
State: | CA US |
Postal Code: | 922773090 |
Phone Number: | 5597070406 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2009 |
NPI Last Update Date: | 01/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 8425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |