NPI 1679842306

Dfas-Jfll/In

Organisation Military General Acute Care Hospital Scott Afb, IL

Practice location

Address: 310 W Losey St, Scott Afb, IL 62225-5250
Phone: (618) 256-3381

Authorised official

Name: Rick Allen Lang
Title: Element Chief, Aerospace Medicine
Phone: (618) 256-3381

Registered specialties

Military General Acute Care Hospital Primary

Hospitals Taxonomy 2865M2000X Licence 154926 (MO)

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Registry record

NPI: 1679842306
Entity type: Organization
NPI issued: 27 Dec 2011
Record last updated: 27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.