# UNITED STATES NAVY

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

## Provider details

- **NPI number:** 1649682154
- **Authorized official:** ROBERT HOOFFSTETTER IDC (INDEPENDENT DUTY CORPSMAN)
- **Authorized official phone:** (619) 537-3274

## Contact information

- **Practice address:** LOGISTICS SUPPORT UNIT ONEMEDIC, 2424 REDOVA RD BLDG 156, SAN DIEGO, CA 92155-5401
- **Practice address phone:** (619) 537-3274
- **Mailing address:** LOGISTICS SUPPORT UNIT ONEMEDIC, 2424 REDOVA RD BLDG 156, SAN DIEGO, CA 92155-5401
- **Mailing address phone:** (619) 537-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | — |
| 2865X1600X | Operational (Transportable) Military General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014