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X AWAITING INACTIVATION3
NPI 1174774863
Military Hospital in Fort Rucker, AL

Active since October 01, 2008
301DUSTOFF AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362(334) 255-7755(334) 255-7368 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Jun 13, 2025 (2 updates tracked since 2025).

About X Awaiting Inactivation3 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

X AWAITING INACTIVATION3 (NPI 1174774863) is a healthcare organization registered as a military hospital in Fort Rucker, Alabama and active in the NPI registry since October 2008. The organization lists William Michael Condon, Ubo, as its authorized official.

NPPES Registry Identity

NPI1174774863
Entity TypeOrganization
Primary Taxonomy286500000X
Legal Business NameX AWAITING INACTIVATION3
Location Address301DUSTOFF AVE, LYSTER ARMY HEALTH CLINICFort Rucker, AL 36362-5333
Mailing Address301dustoff Ave, Lyster Army Health ClinicFort Rucker, AL 36362-5333 · (334) 255-7755 · Fax (334) 255-7368
Phone(334) 255-7755
Fax(334) 255-7368
Organization SubpartYes
Authorized OfficialWilliam Michael CondonUbo · (240) 401-3643
Enumeration DateOctober 1, 2008
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1174774863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals
Taxonomy Code286500000X
License✔ Licensed in AL · B1614161
Definition
A health care facility operated by the Department of Defense.
301DUSTOFF AVE, Fort Rucker, AL 36362
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is X Awaiting Inactivation3's NPI number?

The NPI number for X Awaiting Inactivation3 is 1174774863. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is X Awaiting Inactivation3 located?

X Awaiting Inactivation3 is located at 301dustoff Ave Lyster Army Health Clinic, Fort Rucker, AL 36362. The listed phone number is (334) 255-7755.

What is X Awaiting Inactivation3's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

When was this NPI record last updated?

The NPPES record for X Awaiting Inactivation3 was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.