Organization
WINN-THRID PARTY INSURANCE
Active
Parent organization
WINN-THRID PARTY INSURANCE
Other names
LLOYD C. HAWKS TMC-FT. STEWART
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINN-THRID PARTY INSURANCE
Authorized official
HENRY FORD (CHIEF, UBO)
(912) 435-6175
Entity
Organization
Contact information
Practice address
192 LINDQUIST ROAD, BLDG 412, FT STEWART, GA 31314
(912) 435-6633
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6037
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225081136
PARENT FACILITY WINN ACH NPI
—
Enumeration date
05/16/2007
Last updated
01/05/2015
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