Organization · Type 2 NPI

Keller Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Dix, NJ

NPI number 1275747149 Active

Practice location

5631 Baltimore St
Fort Dix, NJ 08640-5440

Mailing address

900 Washington Rd, Attn Mcud-Rmd-Ubo
West Point, NY 10996-1109

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

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 1275747149

Keller Army Community Hospital's National Provider Identifier is 1275747149, issued on May 10, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Dix, NJ. The record was last updated on Dec 20, 2012.