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Michael Othello Mathis JR., SURFACEFORCEIDC
Operational (Transportable) Military General Acute Care Hospital in Fpo, N/A
NPI 1659612927

Michael Othello Mathis JR. is a Operational (Transportable) Military General Acute Care Hospital based in Fpo, and is specialized in Military General Acute Care Hospital. Operational (Transportable). Michael Othello Mathis JR. practices in Fpo, and has the professional credentials of SURFACEFORCEIDC. The NPI Number for Michael Othello Mathis JR. is 1659612927 and holds a License No. (N/A).

The current practice location address for Michael Othello Mathis JR. is Uss Truxtun, Fpo, and can be reached out via phone at 757-445-6164.

Location: Uss Truxtun, Fpo, , 09588-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659612927
Provider Name
Michael Othello Mathis JR.
Credential
SURFACEFORCEIDC
Provider Entity Type
Individual
Gender
Male
Address
Uss Truxtun, Fpo, , 09588-1309
Phone Number
757-445-6164
Fax Number
Provider Enumeration Date
03/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Uss Truxtun
City
Fpo
State
Zip
09588-1309
Phone Number
757-445-6164
Fax Number
person
Provider Business Mailing Address Details
Address
Uss Truxtun
City
Fpo
State
Zip
09588-1309
Phone Number
757-445-6164
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Military Hospital
Speciality
Military General Acute Care Hospital. Operational (Transportable)
Taxonomy
2865X1600X
License No.
(California)
Definition
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include hospital ships.
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