Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 7

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Military Health Care Provider Providers

NPI Name Type Address

1447702154

Jerry C Mallory JR.

Individual

4018 Bayard 44121

Apo, AA

1992336721

PA Josh Immitt

Individual

Weed Army Community Hospital

Building 390, N Loop Road

Fpo, AA

1538795679

SOIDC Tanner Sean Harvey

Individual

1mrb Bas

Apo, AA

1821618455

MD Anise Aline Crane

Individual

Camp Pendleton

Fpo, AA

1669979316

MD Philip Lieberman

Individual

22 Area Medical Clinic

Bldg 22190

Fpo, AA

1164762167

DR. DO Suzan Eileen Dion

Individual

Building 327

Camp Lejeune, AA

1528797354

Robert Corey

Individual

81ds/sgdr

Apo, AA

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