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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