# SURFACE WARFARE MEDICAL INSTITUTE

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

## Provider details

- **NPI number:** 1588066757
- **Authorized official:** MRS. JESSICA LEE NASH IDC (INDEPENDANT DUTY CORPSMAN)
- **Authorized official phone:** (716) 951-9449

## Contact information

- **Practice address:** 14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
- **Practice address phone:** (716) 951-9449
- **Mailing address:** 14 RUDDER CT SW, BOLLING AFB, BOLLING AFB, DC 20032-7427
- **Mailing address phone:** (716) 951-9449

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 09/19/2014