Kenner Army Health Clinic

LBN: Kenner Army Health Clinic
Kenner Army Health Clinic is an health care organization with primary practice located at 700 24Th St , Fort Lee VA 23801-1716. The organization recently has only one registered license in Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, which is considered as the primary health care specialty. Kenner Army Health Clinic can be contacted via phone (804) 734-9000, or through Rodriguez-Rosado, Carlos via phone (804) 734-9299.

Contact Information

Primary practice address
700 24Th St Fort Lee VA 23801-1716
Phone: (804) 734-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez-Rosado, Carlos
Phone: (804) 734-9299

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X

Profile Details

NPI number 1891854014
LBN Legal business name Kenner Army Health Clinic
DBA Doing business as
Authorized official Rodriguez-Rosado, Carlos
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Jan 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891854014 NPPES
Other AN2598588 MEDCO
Other 48-34289 MEDCO

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