Naval Special Warfare Group Three Det Little Creek

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

NAVAL SPECIAL WARFARE GROUP THREE DET LITTLE CREEK

Practice address

1840 Intercove Rd
Norfolk, VA 23521

Phone

(757) 492-1800

Fax

(757) 492-1704

NPI assigned

Dec 3, 2010

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Alan Nobles, IDC

Title

Master Chief

Phone

(757) 492-1800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1013219591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 INTERCOVE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 INTERCOVE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23521",
            "telephone_number": "757-492-1800",
            "fax_number": "757-492-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL SPECIAL WARFARE GROUP THREE DET LITTLE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MASTER CHIEF",
        "authorized_official_telephone_number": "757-492-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "IDC"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Military Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.