Individual provider · Type 1 NPI
Michael Othello Mathis Jr., SURFACE FORCE IDC
Operational (Transportable) Military General Acute Care Hospital · Fpo, AE
Practice location
Uss Truxtun, Ddg 103
Fpo, AE 09588-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Operational (Transportable) Military General Acute Care Hospital Primary | 2865X1600X | None listed |
Operational (Transportable) Military General Acute Care Hospital: A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with…
About NPI 1659612927
Michael Othello Mathis Jr., SURFACE FORCE IDC's National Provider Identifier is 1659612927, issued on Mar 11, 2013. The primary taxonomy on file is Operational (Transportable) Military General Acute Care Hospital (2865X1600X), and the practice location is in Fpo, AE. The record was last updated on Mar 11, 2013.