Provider Demographics
NPI:1104238724
Name:NAVAL HEALTH CLINIC CHERRY POINT
Entity type:Organization
Organization Name:NAVAL HEALTH CLINIC CHERRY POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA POSC
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:COMMANDING OFFICER
Mailing Address - Street 2:PSC BOX 8023
Mailing Address - City:CHERRY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28533
Mailing Address - Country:US
Mailing Address - Phone:252-466-0254
Mailing Address - Fax:252-466-0287
Practice Address - Street 1:NAVAL HEALTH CLINIC CHERRY POINT
Practice Address - Street 2:BUILDING 4389, BEAUFORT RD
Practice Address - City:MCAS CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533-0023
Practice Address - Country:US
Practice Address - Phone:252-466-0254
Practice Address - Fax:252-466-0287
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAL HEALTH CLINIC CHERRY POINT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-02
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145990OtherPK