Organization · Type 2 NPI

Us Army

Military/U.S. Coast Guard Outpatient Clinic/Center · Fayetteville, NC

NPI number 1003051210 Active

Practice location

5587 Lockridge Road
Fayetteville, NC 28311

Mailing address

5587 Lockridge Rd
Fayetteville, NC 28311-0240

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100X0010-01314 (NC)

Military/U.S. Coast Guard Outpatient Clinic/Center: 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-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1003051210

Us Army's National Provider Identifier is 1003051210, issued on Dec 3, 2008. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 3, 2008.