Provider Demographics
NPI:1174935696
Name:NHC LEMOORE
Entity type:Organization
Organization Name:NHC LEMOORE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DHA POD
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6118
Mailing Address - Street 1:US NAVAL HOSPITAL LEMOORE
Mailing Address - Street 2:937 FRANKLIN AV
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93246-0001
Mailing Address - Country:US
Mailing Address - Phone:559-998-4499
Mailing Address - Fax:559-998-4529
Practice Address - Street 1:937 FRANKLIN BLVD
Practice Address - Street 2:U.S. NAVAL HOSPITAL LEMOORE
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93246-4700
Practice Address - Country:US
Practice Address - Phone:559-998-4499
Practice Address - Fax:559-998-4529
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NHC LEMOORE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-02
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146033OtherPK