Rader Clinic in Fort Myer - Military/u.s. Coast Guard Outpatient
Rader Clinic - NPI 1518958545
Rader Clinic is a Military/u.s. Coast Guard Outpatient in Fort Myer, Virginia. Rader Clinic practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Rader Clinic is 1518958545. The last update date is 2013-05-14.
Rader Clinic's current location address is 401 Carpenter Rd, Fort Myer, Virginia. You can contact this provider via phone number 7036963447. The mailing address for Rader Clinic is 401 Carpenter Rd, Fort Myer, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Rader Clinic |
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Address | 401 Carpenter Rd, Fort Myer, Virginia |
Phone Number | 7036963447 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | FAMILY NUR |
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Authorized Official Name | Usher Eva Stacy |
Credentials | NP |
Telephone Number | 7036963447 |
NPI Number Detail
NPI Number | 1518958545 |
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Provider Enumeration Date | 2005-10-31 |
Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
Address | 401 Carpenter Rd |
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City | Fort Myer |
State | Virginia (VA) |
Post Code | 222111009 |
Phone Number | 7036963447 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Military/u.s. Coast Guard Outpatient |
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Taxonomy | 261Qm1100X |
Licence No | 495950 |
Definition: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-dep |
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What is the unique 10-digit identifier code assigned to Rader Clinic by the Centers for Medicare & Medicaid Services?
The Rader Clinic has been issued the NPI (National Provider Identifier) 1518958545 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Rader Clinic?
The Rader Clinic is situated at 401 Carpenter Rd, in the city of Fort Myer, state of VA, with the zip code 222111009.
What is Rader Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rader Clinic is Military/u.s. Coast Guard Outpatient, and the taxonomy code that classifies this field of practice is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518958545 to Rader Clinic?
The Centers for Medicare & Medicaid Services assigned the 1518958545 to Rader Clinic on 2005-10-31.
When was the information regarding Rader Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rader Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-14.