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Contact Information

LYSTER ARMY HEALTH CLINIC
ANDREWS AVE
BUILDING 301
FORT RUCKER, AL36362
 Phone: 334-255-7033
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military Outpatient Operational (Transportable) Component

261QM1102X
Indicates primary specialty

NPI Profile & details for LYSTER ARMY HEALTH CLINIC

NPI Number 1255519740
LBN Legal business name LYSTER ARMY HEALTH CLINIC
Authorized official CAROLYN BOOZER - (RN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2008
Last updated 02/06/2008 - About 18 years ago
Identifiers
AL License # 1-044039
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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