Lyster Army Health Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LYSTER ARMY HEALTH CLINIC

Practice address

Lyster Army Health Clinic BLDG. 301
Ft. Rucker, AL 36362

Phone

(334) 255-7118

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Jessica Renee Jones

Title

Cna

Phone

(334) 255-7118

Specialties & licenses 1

Addresses

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": "1366610123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG. 301 LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "36362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC BLDG. 301",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7118"
        }
    ],
    "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": "JONES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "334-255-7118"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Marie Little, NURSING ASSISTANT
• Shanae Loiseau, HLTH PROMOTION TECH
• Carlos V Lopez Aquino, MD
• Lyster Army Health Clinic
• Lyster Army Health Clinic
• James Andrew Maccubbin Jr., NREMT-B
• Lue S Magana
• Chimwemwe Mahdi, BEHAVIORAL HEALTH
• Andrew John Maich, NREMT
• Richard Glade Malish, MD

• Primary Care Clinic/Center in Ft. Rucker, AL
• Providers in Ft. Rucker, AL by specialty
• Primary Care Clinic/Center in Alabama

• 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.