Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 4

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Military Health Care Provider Providers

NPI Name Type Address

1730151069

DR. M.D. Michael Hunter Anderson

Individual

3001 6th St

Great Lakes, IL

1427021807

DR. DPT, MS, OCS Jeffrey Allan Damaschke

Individual

3001 6th St

Physical Therapy Department

Great Lakes, IL

1154380947

DR. M.D. Eden U Padilla

Individual

Uss Red Rover

Recruit Training Center

Great Lakes, IL

1871232173

DR. DMD Ethan Tan

Individual

2410 Sampson St

Great Lakes, IL

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