Provider Demographics
NPI:1083820831
Name:AHC VILSECK
Entity type:Organization
Organization Name:AHC VILSECK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:UBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:011-496-3719
Mailing Address - Street 1:CMR 402
Mailing Address - Street 2:BLD 3700
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:US
Mailing Address - Phone:0114963719-464-7400
Mailing Address - Fax:
Practice Address - Street 1:UNIT 28041
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:011490800-350-3104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHC VILSECK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-15
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982778114OtherPARENT FACILITY BAVARIA MEDDAC NPI
OTH000Medicare UPIN
1982778114OtherPARENT FACILITY BAVARIA MEDDAC NPI