Provider Demographics
NPI:1861536922
Name:HANAU HEALTH CLINIC
Entity type:Organization
Organization Name:HANAU HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:EVON
Authorized Official - Last Name:JOHNSON-BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:500-328-6656
Mailing Address - Street 1:USAG HESSEN
Mailing Address - Street 2:CMR 470 BOX 7683
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09165
Mailing Address - Country:DE
Mailing Address - Phone:6181-500-6656
Mailing Address - Fax:
Practice Address - Street 1:USAG HESSEN
Practice Address - Street 2:CMR 470 BOX 7683
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09165
Practice Address - Country:DE
Practice Address - Phone:6181-500-6656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174463261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care