MICHAEL OTHELLO MATHIS JR. SURFACE FORCE IDC
NPI 1659612927
Military Hospital - Military General Acute Care Hospital. Operational (Transportable) in Fpo, AE

Active since March 11, 2013
USS TRUXTUN, DDG 103, FPO, AE 09588(757) 445-6164 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Othello Mathis Jr. Surface Force Idc NPPES

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

MICHAEL OTHELLO MATHIS JR. SURFACE FORCE IDC (NPI 1659612927) is an individual military general acute care hospital. operational (transportable) provider in Fpo, AE and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1659612927
Entity TypeIndividualMale
Primary Taxonomy2865X1600X
Provider Legal NameMICHAEL OTHELLO MATHIS JR.Credential: SURFACE FORCE IDC
Location AddressUSS TRUXTUN, DDG 103Fpo, AE 09588-1309
Mailing AddressUss Truxtun, Ddg 103Fpo, AE 09588-1309
Sole ProprietorYes
Enumeration DateMarch 11, 2013
NPI 1659612927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code2865X1600X
Definition

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 a DoD fort or base. Non-fixed facilities include hospital ships.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659612927, enumerated as an "individual" on March 11, 2013.

The provider is located at USS TRUXTUN DDG 103 FPO, AE 09588 and the phone number is (757) 445-6164.

Military Hospital with taxonomy code 2865X1600X and a focus in Military General Acute Care Hospital. Operational (Transportable).