Organization Name: | USA MEDDAC |
NPI Number: | 1992775019 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE ANN O'RILEY (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 1650 Cochrane Cir Fort Carson |
State: | CO US |
Postal Code: | 809134603 |
Phone Number: | 7195267844 |
Fax Number: | 7195267984 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 1231 |
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. |