Provider Demographics
NPI:1538359922
Name:USNH YOKOSUKA
Entity type:Organization
Organization Name:USNH YOKOSUKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLAIMS ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:DISHON
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:0118146-806-8574
Mailing Address - Street 1:PSC 475 BOX 1 CODE 08
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96350
Mailing Address - Country:JP
Mailing Address - Phone:0118146-816-8574
Mailing Address - Fax:
Practice Address - Street 1:PSC 475 BOX 1 CODE 08
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350
Practice Address - Country:JP
Practice Address - Phone:0118146-816-8574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health