NPI 1811134737

121 Combat Support Hospital

Organisation Health Maintenance Organization Apo, AP

Practice location

Address: 121st Combat Support Hospital Box 270, Apo, AP 96205-5281
Phone: (253) 737-5777
Mailing address: 121 Combat Support Hospital Box 270, Apo, AP 96205

Authorised official

Name: Douglas Vaun Pleshaw
Title: Lpn
Phone: 25373757777

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence LP00056916 (MD)

Other Health Maintenance Organization providers in Armed Forces Pacific →

Registry record

NPI: 1811134737
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

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.