NPIMap

Organization Active NPI

Lyster Army Health Clinic

  • Primary Care Clinic/Center
  • Fort Rucker, AL
National Provider Identifier
1366610115
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LYSTER ARMY HEALTH CLINIC
Practice address
Dept of Primary Care&Community Med
Fort Rucker, AL 36362
Phone
(334) 255-7118
Fax
(334) 255-7090
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Ms. Evon Hill Shaw
Title
Cna
Phone
(334) 255-7118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

Dept of Primary Care&Community Med
Fort Rucker, AL 36362

Mailing address

Dept of the Army Dept of Primary Care&Community Med.
BLDG 301
Fort Rucker, AL 36362
Phone (334) 255-7118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1366610115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF THE ARMY DEPT OF PRIMARY CARE&COMMUNITY MED.",
            "address_2": "BLDG 301",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7118",
            "fax_number": "334-255-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF PRIMARY CARE&COMMUNITY MED",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7118",
            "fax_number": "334-255-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSTER ARMY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "334-255-7118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 14, 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.