INDIVIDUAL PROVIDER – NPI #1376890293
Military Hospital

A health care facility operated by the Department of Defense.

INDIVIDUAL PROVIDER is a military hospital located in EGLIN, FL. NPPES has assigned the NPI number 1376890293 to INDIVIDUAL PROVIDER on August 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 286500000X from the Health Care Provider Taxonomy code set, which is classified as Military Hospital.

The NPI profile was previously updated about 14 years ago on Sep 14, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIVIDUAL PROVIDER below.

NPI Profile for
INDIVIDUAL PROVIDER

NPI Number
1376890293
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIVIDUAL PROVIDER
Primary location
307 BOATNER ROAD SUITE 114
96TH MEDICAL GROUP
EGLIN, FL 32542
Phone: (850) 883-8600 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHUONG THAI
MAJOR
Phone: (850) 883-9055
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
286500000X
- Military Hospital (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.