Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 11

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Military Health Care Provider Providers

NPI Name Type Address

1295719334

DR. Michael Ross

Individual

124 Bradley Blvd

Travis Afb, CA

1225699903

DR. MD Willie Gene Mcclure III

Individual

101 Bodin Cir

Travis Afb, CA

1932720927

DO Jameson Reich

Individual

101 Bodin Cir Bldg 777

Travis Afb, CA

1316525835

Kelsy Dimeff

Individual

101 Bodin Cir

Travis Afb, CA

1225604036

DO Zachary Hicks

Individual

101 Bodin Cir Unit 777

Travis Afb, CA

1326543364

LCSW Taneyea Ryaona Cooley

Individual

101 Bodin Cir

Travis Afb, CA

1548208069

MD Synya Kauhane Balanon

Individual

101 Bodin Cir

Travis Afb, CA

1457379455

DR. M.D. Dianne Yvonne Harris

Individual

101 Bodin Cir

Sgcxe

Travis Afb, CA

1275262537

DR. MD Michael A Acosta

Individual

101 Bodin Cir

Travis Afb, CA

1427627397

MD Nathaniel Trona

Individual

101 Bodin Cir

Travis Afb, CA

1932785904

DO Sarah Alexandra Ericson

Individual

101 Bodin Cir Bldg 777

Travis Afb, 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