Provider Demographics
NPI:1457592776
Name:BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMANDER OF HOSPITAL
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-737-5083
Mailing Address - Street 1:HHC, 121 CSH,
Mailing Address - Street 2:BX 82
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HHC, 121 CSH,
Practice Address - Street 2:BX 82
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205-0000
Practice Address - Country:US
Practice Address - Phone:210-737-5083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00159314286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital