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
BLDG 2669 WEST REGIMENTAL ROAD
FT MCCOY, WI54656-5229
Phone: 608-388-3025
Fax: 608-388-4818
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X

* Indicates primary specialty

NPI Profile & details for US ARMY HEALTH CLINIC

NPI Number 1952854648
Legal business name
LBN
US ARMY HEALTH CLINIC
Authorized official JESSE KOLLASCH-ROBERTS - (NURSE ASSISTANT)
Entity Organization
Organization subpart Yes
Enumeration date 07/28/2016
Last updated 07/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 343143
  • WI License #: 70101705

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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