Organization
AHC KENNER-FT GREGG-ADAMS
Active
Parent organization
AHC KENNER-FT GREGG-ADAMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC KENNER-FT GREGG-ADAMS
Authorized official
FAYA HARR (UBO MANAGER)
(804) 734-9373
Entity
Organization
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9000
Mailing address
700 24TH ST, ATTN PAD, FORT LEE, VA 23801-1716
(804) 734-9306
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
—
48-34289
NCPDP
—
01
—
AN2598588
MEDCO
—
Enumeration date
12/06/2006
Last updated
05/22/2025
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