Lyster Army Health Clinic in Ft Rucker - Military Outpatient Operational (transportable) Component
Lyster Army Health Clinic - NPI 1255519740
Lyster Army Health Clinic is a Military Outpatient Operational (transportable) Component in Ft Rucker, Alabama. Lyster Army Health Clinic practices all healthcare services and medical treatments related to Military Outpatient Operational (transportable) Component. The NPI Number for Lyster Army Health Clinic is 1255519740. The last update date is 2008-02-06.
Lyster Army Health Clinic's current location address is Andrews Avenue, Ft Rucker, Alabama. You can contact this provider via phone number 3342557033. The mailing address for Lyster Army Health Clinic is Andrews Avenue, Ft Rucker, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lyster Army Health Clinic |
|---|---|
| Address | Andrews Avenue, Ft Rucker, Alabama |
| Phone Number | 3342557033 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RN |
|---|---|
| Authorized Official Name | Boozer Ann Carolyn |
| Telephone Number | 3342557033 |
NPI Number Detail
| NPI Number | 1255519740 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | Andrews Avenue |
|---|---|
| City | Ft Rucker |
| State | Alabama (AL) |
| Post Code | 36362 |
| Phone Number | 3342557033 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Outpatient Operational (transportable) Component |
|---|---|
| Taxonomy | 261Qm1102X |
| Licence No | 1-044039 |
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Definition: Non-fixed facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may r |
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What is the unique identifier code issued to Lyster Army Health Clinic by the Centers for Medicare & Medicaid Services?
The Lyster Army Health Clinic has been assigned the NPI (National Provider Identifier) 1255519740. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lyster Army Health Clinic's facilities are geographically located?
The facilities of Lyster Army Health Clinic are physically situated at the following location: Andrews Avenue, Ft Rucker, AL, 36362.
What is the Lyster Army Health Clinic's specialty and taxonomy code?
The Lyster Army Health Clinic's specialty is Military Outpatient Operational (transportable) Component, and the corresponding taxonomy code is 261Qm1102X.
When was the Lyster Army Health Clinic's 1255519740 issued?
The Lyster Army Health Clinic's 1255519740 was issued on 2008-02-06.
As of what date were the details related to Lyster Army Health Clinic most recently updated or revised?
The information pertaining to Lyster Army Health Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-06.