# 1 MEB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336431519
- **Authorized official:** MR. MATTHEW KURMAN PA-C (1 LT)
- **Authorized official phone:** (216) 798-8778

## Contact information

- **Practice address:** 8348 ALABAMA AVE, FORT POLK, LA 71459-5528
- **Practice address phone:** (337) 531-6288
- **Mailing address:** 8348 ALABAMA AVE, FORT POLK, LA 71459-5528
- **Mailing address phone:** (337) 531-6288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2011
- **Last updated:** 05/06/2011