Organization · Type 2 NPI
X Awaiting Inactivation3
Military Hospital · Fort Rucker, AL
NPI number
1174774863
Active
Practice location
301DUSTOFF Ave, Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Fax (334) 255-7368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Hospital Primary | 286500000X | B1614161 (AL) |
Military Hospital: A health care facility operated by the Department of Defense.
About NPI 1174774863
X Awaiting Inactivation3's National Provider Identifier is 1174774863, issued on Oct 1, 2008. The primary taxonomy on file is Military Hospital (286500000X), and the practice location is in Fort Rucker, AL. The record was last updated on Jun 30, 2025.