National Provider Identifier Database

UNKNVETERANS ADMINISTRATION
Military General Acute Care Hospital. Operational (Transportable)

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?non-fixed? or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. ?Non-fixed? facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. ?Non-fixed? facilities include hospital ships.


Contact Information

UNKNVETERANS ADMINISTRATION
21051 LASSEN ST
APARTMENT 78
CHATSWORTH, CA91311-4273
Phone: 319-490-9556
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital. Operational (Transportable) 2865X1600X
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for UNKNVETERANS ADMINISTRATION

NPI Number 1356520779
Legal business name
LBN
UNKNVETERANS ADMINISTRATION
Authorized official PAUL BURTON - (DIRECTOR, COMMUNITY CARE)
Entity Organization
Organization subpart No
Enumeration date 11/01/2007
Last updated 11/01/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 261Q00000X-CLINIC/CE
  • CA License #: 261QF0400X-CLINIC/CE
  • CA License #: 2865X1600X-MILITARY

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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