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SAMANTHA JOSEFINE MOANA BRODEHL NPI 1346654050


NPI Information

NPI: 1346654050
Provider Name: SAMANTHA JOSEFINE MOANA BRODEHL
Classification: Military Hospital - 2865M2000X
Entity Type: Individual

Specialization: Military General Acute Care Hospital

Address:
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661
Phone: (360) 696-4061
Get Directions

Samantha Josefine Moana Brodehl is a military general acute care hospital military hospital in Vancouver, WA. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. Samantha Josefine Moana Brodehl NPI is 1346654050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 E FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661-753
Phone: (360) 696-4061

The enumeration date for this NPI number is 6/20/2014 and was last updated on 6/20/2014.


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
12865M2000XMilitary HospitalMilitary General Acute Care HospitalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.