NPIMap

Organization Active NPI

Lyster Army Health Clinic

  • Military Outpatient Operational (Transportable) Component Clinic/Center
  • Fort Rucker, AL
National Provider Identifier
1255519740
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X
License
1-044039 Issued in AL
Legal business name
LYSTER ARMY HEALTH CLINIC
Practice address
Andrews Ave
Building 301
Ft Rucker, AL 36362
Phone
(334) 255-7033
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Carolyn Ann Boozer
Title
RN
Phone
(334) 255-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X 1-044039 AL Primary

Addresses

Primary practice location

Andrews Ave
Building 301
Ft Rucker, AL 36362

Mailing address

Andrews Avenue
BLDG 301
Ft Rucker, AL 36362
Phone (334) 255-7033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1255519740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANDREWS AVENUE",
            "address_2": "BLDG 301",
            "city": "FT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDREWS AVE",
            "address_2": "BUILDING 301",
            "city": "FT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSTER ARMY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BOOZER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "334-255-7033"
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "AL",
            "license": "1-044039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.