| United States Army | |
|
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001 | |
| (808) 433-6060 | |
| Not Available |
| Full Name | United States Army |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| Authorized Official Name and Position | Jeffrey I Bass (RESIDENCY DIRECTOR OF TRAINING) |
| Authorized Official Contact | 8084336340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Army 91-1030 Kaileolea Dr E3 Ewa Beach HI 96706-6051 Ph: (806) 778-3897 | United States Army 1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001 Ph: (808) 433-6060 |
| NPI Number | 1568857357 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568857357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 563 (Wyoming) | Primary |