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NPI Profile for MICHAEL O MATHIS JR in FPO, AE.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military General Acute Care Hospital. Operational (Transportable) |
2865X1600X |
| NPI Number | 1659612927 |
|
| Status | Active | |
| Credentials | SURFACE FORCE IDC | |
| Entity | Individual | |
| Enumeration date | 03/11/2013 | |
| Last updated | 03/11/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MICHAEL O MATHIS JR
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MICHAEL O MATHIS JR, SURFACE FORCE IDC