BROOKS CITY BASE CLINIC NPI 1124198809

NPI Information

NPI: 1124198809
Provider Name: BROOKS CITY BASE CLINIC

Other Name: BROOKS HEALTH AND WELLNESS CENTER

Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
2200 BERGQUIST DR
ATTN CREDENTIALS (CMC) SUITE ONE
LACKLAND A F B, TX
ZIP 78236
Phone: (210) 536-2976
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BROOKS CITY BASE CLINIC is a military hospital in Lackland A F B, TX. The provider is a health care facility operated by the Department of Defense. BROOKS CITY BASE CLINIC NPI is 1124198809. The provider is registered as an organization entity type.
The provider Other Name Is Brooks Health And Wellness Center.

The provider's business location address is:

2200 BERGQUIST DR
ATTN CREDENTIALS (CMC) SUITE ONE
LACKLAND A F B, TX
ZIP 78236-907
Phone: (210) 536-2976

The provider's authorized official is Cynthia Lynn-swearengin Pouncey .
The authorized official title is Health And Wellness Center and has the following contact phone number (210) 536-2976.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	286500000X	Military Hospital				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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