OrganizationActive
United States Navy
NPI 1730249079 · Operational (Transportable) Military General Acute Care Hospital · Ballwin, MO
Provider details
- NPI number
- 1730249079
- Entity type
- Organization
- Primary specialty
- Operational (Transportable) Military General Acute Care HospitalHospitals
- Authorized official
- Gary Nitz, Nurse Anesthetist
- License
- 064569 (MO)
Practice location
704 Guenevere Dr
Ballwin, MO 63011-3525
Phone: (636) 386-2729
Fax: (636) 527-8189
Mailing address
704 Guenevere Dr
Ballwin, MO 63011-3525
Registry dates
- Enumerated
- 2006-12-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.