Provider Demographics
NPI:1578730727
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:32512-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 HIGHWAY 361
Practice Address - Street 2:BLDG 2516
Practice Address - City:CRANE
Practice Address - State:IN
Practice Address - Zip Code:47522-4000
Practice Address - Country:US
Practice Address - Phone:812-854-1220
Practice Address - Fax:812-854-1339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAL HOSPITAL PENSACOLA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-15
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2025776OtherPK