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

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Military Health Care Provider Providers

NPI Name Type Address

1013187830

MR. IDC Brian Casey Pruett

Individual

1 Boone Rd

Bremerton, WA

1700940434

MR. CHT Charles Edwin Olson

Individual

One Boone Rd

Bremerton, WA

1780114850

CRNA Lisa Marie O'driscoll

Individual

1 Boone Rd

Bremerton, WA

1639438567

MD Mofei Liu

Individual

1 Boone Rd

Bremerton, WA

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