Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 6

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Military Health Care Provider Providers

NPI Name Type Address

1245896968

DO Carolyn Alyce Jiang

Individual

101 Bodin Cir

Fairfield, CA

1851919468

MD Derek P Brady

Individual

101 Bodin Cir

Fairfield, CA

1992434252

DR. MD Halle Lindsay

Individual

101 Bodin Cir

Fairfield, CA

1932838208

DR. MD Mitchell Harrison

Individual

101 Bodin Cir

Fairfield, CA

1518690171

DO Edward Telmo

Individual

101 Bodin Cir

Fairfield, CA

1316671639

DR. MD Drew Raboy

Individual

101 Bodin Cir

Fairfield, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299