Provider Demographics
NPI:1588631709
Name:NAVAL HOSPITAL CAMP LEJEUNE
Entity Type:Organization
Organization Name:NAVAL HOSPITAL CAMP LEJEUNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPT HEAD
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-450-4786
Mailing Address - Street 1:2047 LONGSTAFF ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-3454
Mailing Address - Country:US
Mailing Address - Phone:619-757-0473
Mailing Address - Fax:
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28542
Practice Address - Country:US
Practice Address - Phone:910-450-4786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9214088286500000X, 2865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital
No2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital