| Lyster Army Health Clinic | |
|
Dept Of Primary Care&community Med Fort Rucker AL 36362 | |
| (334) 255-7118 | |
| (334) 255-7090 |
| Full Name | Lyster Army Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | Dept Of Primary Care&community Med, Fort Rucker, Alabama |
| Authorized Official Name and Position | Evon Hill Shaw (CNA) |
| Authorized Official Contact | 3342557118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyster Army Health Clinic Dept Of The Army Dept Of Primary Care&community Med. Bldg 301 Fort Rucker AL 36362 Ph: (334) 255-7118 | Lyster Army Health Clinic Dept Of Primary Care&community Med Fort Rucker AL 36362 Ph: (334) 255-7118 |
| NPI Number | 1366610115 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366610115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Lyster Army Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Lyster Army Health Clinic, Bldg 301 Andrews Avenue, Fort Rucker, AL 36362 Phone: 334-255-7894 Fax: 334-255-7368 |