Provider Demographics
NPI:1588066294
Name:UNITED STATES NAVY
Entity type:Organization
Organization Name:UNITED STATES NAVY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SMO, BRANCH HEALTH CLINIC - EVANS
Authorized Official - Prefix:MR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:098-970-6114
Mailing Address - Street 1:UNIT 38445
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96373-8445
Mailing Address - Country:US
Mailing Address - Phone:098-970-6114
Mailing Address - Fax:
Practice Address - Street 1:UNIT 38445
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96373-8445
Practice Address - Country:US
Practice Address - Phone:098-970-6114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty CorpsmanGroup - Single Specialty