OrganizationActive
United States Navy
NPI 1386886489 · Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Charleston, WA
Provider details
- NPI number
- 1386886489
- Entity type
- Organization
- Primary specialty
- Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Shane Hicks, Independent Duty Corpsman
Mailing address
48 Hickory Hall Ln
Goose Creek, SC 29445-6318
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.