US Army Health Clinic

NPI #1952854648 in Ft Mccoy, Wisconsin

Provider Information

NPI Number
1952854648
Entity Type
Organization
Organization Name
US Army Health Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
UNITED STATES ARMY
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jul 28, 2016
Last Updated
Jul 28, 2016

Practice Location

Address
BLDG 2669 WEST REGIMENTAL ROAD
ZIP Code
54656-5229
Phone
(608) 388-3025

Authorized Official

Name
MR. JESSE C KOLLASCH-ROBERTS
Title
NURSE ASSISTANT
Phone
(608) 388-3025

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military and U.S. Coast Guard Ambulatory ProcedureMilitary and U.S. Coast Guard Ambulatory Procedure
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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