Provider Demographics
NPI:1679887541
Name:NATIONAL NAVAL MEDICAL CENTER
Entity Type:Organization
Organization Name:NATIONAL NAVAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GPR DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-295-4339
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:BUILDING 9, 2ND FLOOR, ROOM 2524
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-4339
Mailing Address - Fax:301-295-4836
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BUILDING 9, 2ND FLOOR, ROOM 2524
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4339
Practice Address - Fax:301-295-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital