National Provider Identifier Database

KENNER 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

KENNER ARMY HEALTH CLINIC
14115 MONTAGUE RD
FORT A.P. HILL, VA22427-3115
Phone: 804-734-9000
Fax:
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for KENNER ARMY HEALTH CLINIC

NPI Number 1801043252
Legal business name
LBN
KENNER ARMY HEALTH CLINIC
Authorized official CARLOS RODRIGUEZ-ROSADO - (NCOIC PAD)
Entity Organization
Organization subpart Yes
Enumeration date 08/27/2008
Last updated 05/30/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1891854014 PARENT FACILITY NPI EFF 1 OCT 10

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.

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