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Organization
FT RUCKER EMS
Active
Organization
FT RUCKER EMS
Active
Parent organization
LYSTER ARMY HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LYSTER ARMY HEALTH CLINIC
Authorized official
MR. DAVID N HATAWAY PARAMEDIC (CHIEF EMS)
(334) 255-7032
Entity
Organization
Contact information
Practice address
BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7032
Mailing address
BLDG 301 ANDREWS AVE, FT RUCKER, AL 36362-5333
(334) 255-7032
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9142973
AL
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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