National Provider Identifier Database

US ARMY HEALTH CLINIC
Military/U.S. Coast Guard Outpatient

The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

US ARMY HEALTH CLINIC
5116 KISTER AVE
RM #119
DUGWAY, UT84022-1097
Phone: 435-831-3313
Fax: 435-831-3360
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for US ARMY HEALTH CLINIC

NPI Number 1497702591
Legal business name
LBN
US ARMY HEALTH CLINIC
Authorized official ELIZABETH BURLINGAME - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 05/27/2006
Last updated 11/17/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: AN2598588 MEDCO
  • Other: 4609307 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for US ARMY HEALTH CLINIC

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