Organization Name: | DFAS-JFLL/IN |
NPI Number: | 1679842306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK ALLEN LANG (ELEMENT CHIEF, AEROSPACE MEDICINE) |
Mailing Address: | 310 W Losey St Scott Afb |
State: | IL US |
Postal Code: | 622255250 |
Phone Number: | 6182563381 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2011 |
NPI Last Update Date: | 12/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2865M2000X |
License Number: | 154926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | Military General Acute Care Hospital |
Taxonomy Definition: | A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in |