Kenner Army Health Clinic
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Lee, VA
NPI 1043591175 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1043591175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- KENNER ARMY HEALTH CLINIC
- Practice address
- 700 24TH St
BLDG 3219 Ncxo TMC
Fort Lee, VA 23801-1716 - Phone
- (804) 734-9000
- NPI assigned
- Sep 2, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- KENNER ARMY HEALTH CLINIC
Authorized official
- Name
- Carlos Rodriguez-Rosado
- Title
- Ncoic Pad
- Phone
- (804) 734-9299
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Kenner Army Health Clinic
- Part of
- Kenner Army Health Clinic
Locations
700 24th St
Bldg 3219
Fort Lee, VA 23801
Phone (804) 734-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
700 24TH St
BLDG 3219 Ncxo TMC
Fort Lee, VA 23801-1716
Mailing address
700 24TH St
Attn Pad
Fort Lee, VA 23801-1716
Phone (804) 734-9306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891854014 | Other | PARENT FACILITY NPI 2 |
Other names
- TMC-1 Kenner-Ft Lee
Other providers in Fort Lee, VA
- Tameka Norwood Howlett
- Marie P. Huggins
- Richard B. Johnson
- Konstance Joseph
- Eugene L Kastelberg Jr.
- Kenner Army Health Clinic
- Kenner Army Health Clinic
- Kenner Army Health Clinic
- Kenner Army Health Clinic
- Kenner Army Health Clinic
All providers in Fort Lee, VA · Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.