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Contact Information

DEPARTMENT OF DEFENSE
11050 MOUNT BELVEDERE BLVD
APO, AA13602-5438
 Phone: 315-772-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for DEPARTMENT OF DEFENSE

NPI # 1437502325
LBN Legal business name DEPARTMENT OF DEFENSE
Authorized official KENNETH ARIE - (CREDENTIALS MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/15/2016
Last updated 07/15/2016 - About 10 years ago
Identifiers
NY License # 1053724807
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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