Organization
MCDONALD ARMY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO ORTIZ (DEPUTY COMMANDER CLINICAL SERVICES)
(757) 314-7500
Entity
Organization
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0119002964
VA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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