Provider Demographics
NPI:1790056372
Name:U. S. NAVY
Entity Type:Organization
Organization Name:U. S. NAVY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT DUTY CORPSMAN
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:SARKODIE
Authorized Official - Last Name:ACHEAMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:IDC
Authorized Official - Phone:619-537-1335
Mailing Address - Street 1:3423 GUADALCANAL RD
Mailing Address - Street 2:BLDG 401 2ND DECK
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92155-5000
Mailing Address - Country:US
Mailing Address - Phone:619-537-1304
Mailing Address - Fax:
Practice Address - Street 1:3423 GUADALCANAL RD
Practice Address - Street 2:BLDG 401 2ND DECK
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92155-5000
Practice Address - Country:US
Practice Address - Phone:619-537-1304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital