Provider Demographics
NPI:1417030891
Name:USAMEDDAC WUERZBURG, UNIT 26610
Entity Type:Organization
Organization Name:USAMEDDAC WUERZBURG, UNIT 26610
Other - Org Name:GRAFENWOEHR
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSING ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:MONIC
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:0964-183-8307
Mailing Address - Street 1:CMR 415 BOX 4572
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114
Mailing Address - Country:US
Mailing Address - Phone:0964-183-8307
Mailing Address - Fax:
Practice Address - Street 1:GRAFENWOEHR HEALTH CLINIC
Practice Address - Street 2:BUILDING 475
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09114
Practice Address - Country:US
Practice Address - Phone:0964-183-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital