LYSTER ARMY HEALTH CLINIC NPI 1972751865

Military Hospital in Ft Rucker, AL

NPI 1972751865 Organization Military Hospital

About LYSTER ARMY HEALTH CLINIC

Lyster Army Health Clinic is a provider established in Ft Rucker, Alabama specializing in military hospital. The NPI number of Lyster Army Health Clinic is 1972751865 and was assigned on September 2008. The practitioner's primary taxonomy code is 286500000X. 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 Mr. Gary Bell (Chief Rmd)

NPI

1972751865

Provider NameLYSTER ARMY HEALTH CLINIC
Provider Location Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FT RUCKER, AL 36362
Provider Mailing Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FT RUCKER, AL 36362
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-04-2008
Last Update Date09-04-2008


Primary Taxonomy

Taxonomy Code286500000X
ClassificationMilitary Hospital
TypeHospitals
Taxonomy DescriptionA health care facility operated by the Department of Defense.

Business Address

LYSTER ARMY HEALTH CLINIC
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL
ZIP 36362
Phone: (334) 255-7882
Fax: (334) 255-7368

Get Directions


Mailing Address

LYSTER ARMY HEALTH CLINIC
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL
ZIP 36362
Phone: (334) 255-7882
Fax: (334) 255-7368



Authorized Official

Authorized Official NameMR. GARY BELL
Authorized Official TitleCHIEF RMD
Authorized Official Phone(334) 255-7386

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407845589DR. CRAIG BRIAN COLLIER M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7363
1467441600DR. RONDA FOWLER CARTER M.D.
Individual
Family Medicine301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7387
1184605701MS. DEBORAH ANNE DELK ARNP-C
Individual
Nurse Practitioner (Obstetrics & Gynecology)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7387
1023099421MR. VIRGIL THOMAS SPEECE APA-C
Individual
Physician Assistant301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7387
1316929029DR. JAMES STUART MCGHEE M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL 36362
(334) 255-7387
1275517344DR. JOSEPH FRANCIS MCKEON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1558347401 KATHY OLBETER PA-C
Individual
Physician Assistant (Medical)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7387
1720058951DR. JUSTIN TREVOR WOODSON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1265403125MRS. BELINDA MARIANNE JELLISON LPC
Individual
Marriage & Family Therapist301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7028
1467410209DR. JIMMY CHRISTOPHER MCNEAL O.D.
Individual
Optometrist301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC - EENT
FORT RUCKER, AL 36362
(334) 255-7185
1689606709 WILLIE EARL SALLIS PA
Individual
Physician Assistant301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL 36362
(334) 255-7349
1558396457DR. JOHN STEPHEN CROWLEY MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1942349527DR. DIANE MICHELLE ZIERHOFFER PHD
Individual
Psychologist (Counseling)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1245420439 KATHLEEN LOUISE SOPP R.D.
Individual
Dietitian, Registered301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1386822096MRS. JOAN L FINDEISEN LPN
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7930
1821266610MS. TINA MARIE MAULDIN
Individual
Registered Nurse301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7741
1407024243 PATRICIA A SMITH RN
Individual
Registered Nurse301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7577
1285802017 CAROLYN PETERSON
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7883
1467620294 CLIFTON O COX
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7883
1063680734 SHANICE COLEMAN MEDICAL ASSISTANT
Individual
Technician301 ANDREWS AVE
FT. RUCKER, AL 36362
(333) 255-7755

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.