Provider Demographics
NPI:1093128282
Name:NAVAL HOSPITAL PENSACOLA
Entity Type:Organization
Organization Name:NAVAL HOSPITAL PENSACOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA POSC
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:NAVAL HOSPITAL PENSACOLA
Mailing Address - Street 2:6000 W HWY 98 CODE 11
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32512-0003
Mailing Address - Country:US
Mailing Address - Phone:504-678-3383
Mailing Address - Fax:504-678-9069
Practice Address - Street 1:400 RUSSELL AVE BLDG 41
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70143-5077
Practice Address - Country:US
Practice Address - Phone:504-678-3383
Practice Address - Fax:504-678-9069
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAL HOSPITAL PENSACOLA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-05
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146142OtherPK