Organization · Type 2 NPI
Lyster Army Health Clinic
Military Outpatient Operational (Transportable) Component Clinic/Center · Fort Rucker, AL
Practice location
Andrews Ave, Building 301
Fort Rucker, AL 36362
Mailing address
Andrews Avenue, Bldg 301
Fort Rucker, AL 36362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Outpatient Operational (Transportable) Component Clinic/Center Primary | 261QM1102X | 1-044039 (AL) |
Military Outpatient Operational (Transportable) Component Clinic/Center: "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 receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort…
3 other providers at this address
Other military outpatient operational (transportable) component clinic/center providers in Fort Rucker
About NPI 1255519740
Lyster Army Health Clinic's National Provider Identifier is 1255519740, issued on Feb 6, 2008. The primary taxonomy on file is Military Outpatient Operational (Transportable) Component Clinic/Center (261QM1102X), and the practice location is in Fort Rucker, AL. The record was last updated on Feb 6, 2008.