56Th Medical Group in Luke Afb - Military/u.s. Coast Guard Outpatient
56Th Medical Group - NPI 1194700971
56Th Medical Group is a Military/u.s. Coast Guard Outpatient in Luke Afb, Arizona. 56Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 56Th Medical Group is 1194700971. The last update date is 2014-03-03.
56Th Medical Group's current location address is 7219 N Litchfield Rd, Luke Afb, Arizona. You can contact this provider via phone number 6238564057. The mailing address for 56Th Medical Group is 7219 N Litchfield Rd, Luke Afb, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 56Th Medical Group |
|---|---|
| Address | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Phone Number | 6238564057 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1194700971 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2014-03-03 |
Provider Mailing Address Detail
| Address | 7219 N Litchfield Rd |
|---|---|
| City | Luke Afb |
| State | Arizona (AZ) |
| Post Code | 85309 |
| Phone Number | 6238564057 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
|
Definition: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-dep |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 323953 | AZ | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 56Th Medical Group by the Centers for Medicare & Medicaid Services?
The 56Th Medical Group has been issued the NPI (National Provider Identifier) 1194700971 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where 56Th Medical Group's facilities are geographically located?
The facilities of 56Th Medical Group are physically situated at the following location: 7219 N Litchfield Rd, Luke Afb, AZ, 85309.
What is 56Th Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The 56Th Medical Group's specialized field of practice is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1100X.
On what date did 56Th Medical Group receive its 1194700971 assignment from the Centers for Medicare & Medicaid Services?
The 56Th Medical Group was assigned its 1194700971 on 2005-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding 56Th Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 56Th Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-03.
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