Creech Aid Station

NPI #1942439476 in Indian Springs, Nevada

Provider Information

NPI Number: 1942439476
Entity Type: Organization
Organization Name: Creech Aid Station
Subpart: Yes (part of a larger organization)
Parent Organization: MIKE O'CALLAGHAN FEDERAL HOSPITAL
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Jul 6, 2009
Last Updated: Jul 6, 2009

Practice Location

Address: 2D STREET BLDG #54
City: Indian Springs
State: Nevada
ZIP Code: 89018
Phone: (702) 404-1142

Authorized Official

Name: MR. CHRISTOPHER DOUGLAS EATON
Title: UNIFORM BUSINESS OFFICE PROGRAM MGR
Phone: (703) 681-6303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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Organizations

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