X Awaiting Inactivation3

NPI #1174774863 in Fort Rucker, Alabama

Provider Information

NPI Number: 1174774863
Entity Type: Organization
Organization Name: X Awaiting Inactivation3
Subpart: Yes (part of a larger organization)
Parent Organization: X AWAITING INACTIVATION3
Primary Specialty: Military Hospital
Enumeration Date: Oct 1, 2008
Last Updated: Jun 30, 2025

Practice Location

Address: 301DUSTOFF AVE
Address 2: LYSTER ARMY HEALTH CLINIC
City: Fort Rucker
State: Alabama
ZIP Code: 36362-5333
Phone: (334) 255-7755

Authorized Official

Name: WILLIAM MICHAEL CONDON
Title: UBO
Phone: (240) 401-3643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital	286500000X	Primary

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Birmingham Va Medical Center	Military Hospital	Birmingham	AI Deep Dive
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