# UNITED STATES NAVY

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

## Provider details

- **NPI number:** 1396047866
- **Authorized official:** MS. KARA MICHELE WORTLEY P.A. (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (208) 301-3169

## Contact information

- **Practice address:** 5065 SUNBURST ST, JOSHUA TREE, CA 92252-1831
- **Practice address phone:** (208) 301-3169
- **Mailing address:** 5065 SUNBURST ST, JOSHUA TREE, CA 92252-1831
- **Mailing address phone:** (208) 301-3169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010