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RUSTON L HESS NPI 1205828753


NPI Information

NPI: 1205828753
Provider Name: RUSTON L HESS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization
Address:
2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES
JACKSONVILLE, FL
ZIP 32212
Phone: (619) 532-6684
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RUSTON L HESS is a student in an organized health care education training program in Jacksonville, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. RUSTON L HESS NPI is 1205828753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES
JACKSONVILLE, FL
ZIP 32212-140
Phone: (619) 532-6684

The provider's authorized official is Ruston L Hess .
The authorized official title is President/owner and has the following contact phone number (386) 405-8791.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 5/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1257942100MEDICAIDFLORIDA
2E3466AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3U63009MEDICARE UPIN

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: 4/28/2024

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