USAMEDDAC-KFHPOHS NPI 1265709240

NPI Information

  • NPI: 1265709240
  • Provider Name: USAMEDDAC-K,FHP,OHS
  • Classification: Military Hospital - 286500000X
  • Entity Type: Organization
  • Address: 629TH MEDICAL COMPANY
    UNIT # 15342
    APO, AP
    ZIP 96258
  • Phone: (315) 732-7396

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NPI Details

USAMEDDAC-K,FHP,OHS is a military hospital in Apo, AP. The provider is a health care facility operated by the Department of Defense. USAMEDDAC-K,FHP,OHS NPI is 1265709240. The provider is registered as an organization entity type.

The provider's business location address is:

629TH MEDICAL COMPANY
UNIT # 15342
APO, AP
ZIP 96258-342
Phone: (315) 732-7396

The provider's authorized official is Kyoung S Boltuc .
The authorized official title is Occupational Health Nurse and has the following contact phone number (315) 732-7396.

The enumeration date for this NPI number is 11/19/2011 and was last updated on 11/19/2011.

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
1286500000XMilitary Hospital403434CALIFORNIAYes

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: 11/21/2025

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