Dfas-CL/JFLB

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

DFAS-CL/JFLB

Practice address

12092 Harmony Cir
Gulfport, MS 39503-9524

Phone

(850) 390-1718

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Dustin Blake Jones, IDC

Title

Independent Duty Corpsman

Phone

(850) 390-1718

Specialties & licenses 1

Addresses

Tax ID family

Uss Pasadenassn75263 organizations share this tax ID, including this one

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1396005583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12092 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039524",
            "telephone_number": "850-390-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12092 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039524",
            "telephone_number": "850-390-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFAS-CL/JFLB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "850-390-1718",
        "authorized_official_credential": "IDC"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Military Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.