| Organization Name: | LYSTER ARMY HEALTH CLINIC |
| NPI Number: | 1174774863 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY BELL (C, RMD) |
| Mailing Address: | 301dustoff Ave Lyster Army Health Clinic Fort Rucker |
| State: | AL US |
| Postal Code: | 363625333 |
| Phone Number: | 3342557755 |
| Fax Number: | 3342557368 |
| NPI Enumeration Date: | 10/01/2008 |
| NPI Last Update Date: | 10/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | B1614161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |