LYSTER ARMY HEALTH CLINIC NPI 1316197452

Military Hospital in Fort Rucker, AL

NPI 1316197452 Organization Military Hospital

About LYSTER ARMY HEALTH CLINIC

Lyster Army Health Clinic is a provider established in Fort Rucker, Alabama specializing in military hospital. The NPI number of Lyster Army Health Clinic is 1316197452 and was assigned on September 2008. The practitioner's primary taxonomy code is 286500000X with license number 2-050712 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Gary Bell (C, Rmd)

NPI

1316197452

Provider NameLYSTER ARMY HEALTH CLINIC
Provider Location AddressANDREWS AVE, BLDG 301 LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
Provider Mailing AddressANDREWS AVE, BLDG 301 LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-25-2008
Last Update Date09-25-2008


Primary Taxonomy

Taxonomy Code286500000X
ClassificationMilitary Hospital
TypeHospitals
License No.2-050712
License StateAL
Taxonomy DescriptionA health care facility operated by the Department of Defense.

Business Address

LYSTER ARMY HEALTH CLINIC
ANDREWS AVE, BLDG 301
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7494
Fax: (334) 255-7368

Get Directions


Mailing Address

LYSTER ARMY HEALTH CLINIC
ANDREWS AVE, BLDG 301
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7494
Fax: (334) 255-7368



Authorized Official

Authorized Official Name GARY BELL
Authorized Official TitleC, RMD
Authorized Official Phone(334) 255-7386

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639347008 TERRENCE ARASHI ELLIOTT OPTOMETRY TECH
Individual
Specialist/Technologist, OtherANDREWS AVE, BLDG 301 LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7185

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.