Provider Demographics
NPI:1538123435
Name:NAVAL AMBULATORY CARE CENTER
Entity Type:Organization
Organization Name:NAVAL AMBULATORY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, RESOURCE MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-505-6309
Mailing Address - Street 1:2300 GENERAL MEYER AVE.
Mailing Address - Street 2:BLDG H100
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70142-0001
Mailing Address - Country:US
Mailing Address - Phone:504-678-2400
Mailing Address - Fax:
Practice Address - Street 1:2300 GENERAL MEYER AVE.
Practice Address - Street 2:BLDG H100
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70142-0001
Practice Address - Country:US
Practice Address - Phone:504-678-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient