Organization Name: | NBHC, NSA MID-SOUTH |
NPI Number: | 1245295971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L AYERS (DIRECTOR, RESOURCE MANAGEMENT) |
Mailing Address: | 5722 Integrity Dr Bldg S771 Millington |
State: | TN US |
Postal Code: | 380545028 |
Phone Number: | 9018746100 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 08/28/2008 |
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 |