LYSTER ARMY HEALTH CLINIC (NPI# 1093978454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093978454 |
| Entity Type | Organization |
| Organization Name | LYSTER ARMY HEALTH CLINIC |
| Practice Address |
Buliding 301 Andrews Ave Lyster Army Health Clinic Fpo AA 36362-5333 |
| Practice Telephone | 3342557118 |
| Mailing Telephone | 3342557118 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | GARY BELL (CHIEF RMD/HUMAN RESOURCES) |
| Authorized Official Telephone | 3342557386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | B1820184 | AL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174774863 | Lyster Army Health Clinic | Military Hospital | 301dustoff Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-10-01 |
| 1447407218 | Lyster Army Health Clinic | Military Hospital | Building 301, Andrews Ave, Lyster Army Health Clinic, Fpo, AE 36362-5333 | 2008-08-25 |
| 1366610115 | Lyster Army Health Clinic | Clinic/Center | Dept of Primary Care&community Med, Fort Rucker, AL 36362 | 2008-02-14 |
| 1366610123 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic Bldg. 301, Ft. Rucker, AL 36362 | 2008-02-14 |
| 1255519740 | Lyster Army Health Clinic | Clinic/Center | Andrews Ave, Building 301, Ft Rucker, AL 36362 | 2008-02-06 |
| 1821410242 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1033532486 | Lyster Army Health Clinic | Clinic/Center | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-01-21 |
| 1093029027 | Lyster Army Health Clinic | Clinic/Center | Lyster Army Health Clinic, Bldg 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2010-08-02 |
| 1568612497 | Lyster Army Health Clinic | Military Hospital | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fpo, AE 36362-5333 | 2008-09-29 |
| 1316197452 | Lyster Army Health Clinic | Military Hospital | Andrews Ave, Bldg 301, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2008-09-25 |
| Street Address |
BULIDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC |
| City | FPO |
| State | AA |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942503081 | Us Navy | Military Hospital | 3d Mlg Clr 37 Kgas, Unit 38404, Fpo, AP 96604-8404 | 2010-12-13 |
| 1619270915 | Lester Naval Hospital | Military Hospital | Psc 559 Box 5982, Fpo, AP 96377-5900 | 2010-12-08 |
| 1851605539 | United States Navy | Military Hospital | Psc 475 Box 1358, Fpo, AP 96350-9998 | 2010-08-04 |
| 1730406281 | Saic | Military Hospital | Psc 476 Box 62, Fpo, AP 96322-0001 | 2010-04-23 |
| 1124261789 | Us Naval Hospital Guantanamo Bay | Military Hospital | Usnh Gtmo Box 172, Fpo, AE 09589-1000 | 2009-04-13 |
| 1922290139 | Angela Malik | Military Hospital | Psc 817 Box 2520, Fpo, AE 09622 | 2007-08-11 |
| 1427023332 | Us Navy | Military Hospital | Usnh Box 73, Fpo, AE 09589-1000 | 2006-02-22 |
| 1740251685 | United States Naval Hospital | Military Hospital | Box 172, Us Naval Hospital Gtmo, Fpo, AE 09589 | 2006-01-30 |
| 1164493128 | United States Navy | Military Hospital | Psc 827 Box 104, Fpo, AE 09617-1000 | 2006-01-30 |
| 1497152045 | Naval Hospital Lemoore | Military Hospital | 937 Franklin Avenue, Fpo, AA 93246 | 2014-11-25 |
| Find all providers in FPO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.