Mark Mammoth in Groton - Independent Duty Corpsman
Mark Mammoth - NPI 1760668792
Mark Mammoth is a Independent Duty Corpsman in Groton, Connecticut. Mark Mammoth practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Mark Mammoth is 1760668792. The last update date is 2008-01-22.
Mark Mammoth's current location address is 1 Wahoo Drive, Groton, Connecticut. You can contact this provider via phone number 8606942377 and fax number 8606942590. The mailing address for Mark Mammoth is 1 Wahoo Drive, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mammoth |
|---|---|
| Address | 1 Wahoo Drive, Groton, Connecticut |
| Phone Number | 8606942377 |
| Fax Number | 8606942590 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760668792 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 1 Wahoo Drive |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63495600 |
| Phone Number | 8606942377 |
| Fax Number | 8606942590 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the Mark Mammoth's 1760668792?
The Mark Mammoth's NPI (National Provider Identifier) Number is 1760668792. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Mammoth?
The Mark Mammoth is physically situated at 1 Wahoo Drive, in the city of Groton, state of CT, with the postal code 63495600.
What is the Mark Mammoth's specialty and taxonomy code?
The Mark Mammoth's specialty is Independent Duty Corpsman, and the corresponding taxonomy code is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760668792 to Mark Mammoth?
The Mark Mammoth received its 1760668792 assignment from the Centers for Medicare & Medicaid Services on 2008-01-22.
As of what date was the information regarding Mark Mammoth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Mammoth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-22.
NPI Number: 1982607495
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