Kenner Army Health Clinic in Fort Lee - Community Health
Kenner Army Health Clinic - NPI 1164640504
Kenner Army Health Clinic is a Community Health in Fort Lee, Virginia. Kenner Army Health Clinic practices all healthcare services and medical treatments related to Community Health. The NPI Number for Kenner Army Health Clinic is 1164640504. The last update date is 2008-08-12.
Kenner Army Health Clinic's current location address is 700 24th St, Fort Lee, Virginia. You can contact this provider via phone number 8047349449 and fax number 8047349053. The mailing address for Kenner Army Health Clinic is 700 24th St, Fort Lee, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenner Army Health Clinic |
|---|---|
| Address | 700 24th St, Fort Lee, Virginia |
| Phone Number | 8047349449 |
| Fax Number | 8047349053 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Watson Eugene Joseph |
| Telephone Number | 8047349449 |
NPI Number Detail
| NPI Number | 1164640504 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 700 24th St |
|---|---|
| City | Fort Lee |
| State | Virginia (VA) |
| Post Code | 238011716 |
| Phone Number | 8047349449 |
| Fax Number | 8047349053 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 2041915 |
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Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
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What is the unique 10-digit identification code issued to Kenner Army Health Clinic by the Centers for Medicare & Medicaid Services?
The Kenner Army Health Clinic has been assigned the NPI (National Provider Identifier) 1164640504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kenner Army Health Clinic?
The Kenner Army Health Clinic is physically situated at 700 24Th St, in the city of Fort Lee, state of VA, with the postal code 238011716.
What is Kenner Army Health Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenner Army Health Clinic's area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qc1500X.
When did Kenner Army Health Clinic receive its 1164640504 assignment?
The Kenner Army Health Clinic was assigned its 1164640504 on 2007-04-23, which is the date when this unique identifier was issued to the organization.
When was the Kenner Army Health Clinic's information last updated?
The Kenner Army Health Clinic's information was last updated on 2008-08-12.