Provider Demographics
NPI:1164521217
Name:FOX ARMY HEALTH CENTER
Entity Type:Organization
Organization Name:FOX ARMY HEALTH CENTER
Other - Org Name:REDSTONE PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DHA PASS
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:MCXW PAD INS OFFICE
Mailing Address - Street 2:BLDG 4100 GOSS RD
Mailing Address - City:REDSTONE ARSENAL
Mailing Address - State:AL
Mailing Address - Zip Code:35809-7000
Mailing Address - Country:US
Mailing Address - Phone:201-221-8274
Mailing Address - Fax:210-295-2567
Practice Address - Street 1:USA MEDDAC
Practice Address - Street 2:BLDG 4100 GOSS RD
Practice Address - City:REDSTONE ARSENAL
Practice Address - State:AL
Practice Address - Zip Code:35809-7000
Practice Address - Country:US
Practice Address - Phone:256-876-5773
Practice Address - Fax:256-842-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1994579OtherPK
005229OtherNCPDP PAYMENT CENTER
1487609962OtherPARENT NPI