96Th Medical Group in Eglin Afb - Military/u.s. Coast Guard Outpatient
96Th Medical Group - NPI 1588647770
96Th Medical Group is a Military/u.s. Coast Guard Outpatient in Eglin Afb, Florida. 96Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 96Th Medical Group is 1588647770. The last update date is 2014-02-18.
96Th Medical Group's current location address is 307 Boatner Rd, Eglin Afb, Florida. You can contact this provider via phone number 8508839015 and fax number 8508838659. The mailing address for 96Th Medical Group is 307 Boatner Rd, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | 96Th Medical Group |
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Address | 307 Boatner Rd, Eglin Afb, Florida |
Phone Number | 8508839015 |
Fax Number | 8508838659 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | AIR FORCE |
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Authorized Official Name | Mitchell Marie Theresa |
Telephone Number | 7036817613 |
NPI Number Detail
NPI Number | 1588647770 |
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Provider Enumeration Date | 2005-11-22 |
Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
Address | 307 Boatner Rd |
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City | Eglin Afb |
State | Florida (FL) |
Post Code | 325421302 |
Phone Number | 8508839015 |
Fax Number | 8508838659 |
Provider's Primary Taxonomy Detail
Speciality | Military/u.s. Coast Guard Outpatient |
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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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10-79260 | FL | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to 96Th Medical Group by the Centers for Medicare & Medicaid Services?
The 96Th Medical Group has been assigned the NPI (National Provider Identifier) 1588647770 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where 96Th Medical Group is physically located?
The 96Th Medical Group is physically situated at the following address: 307 Boatner Rd, Eglin Afb, FL, 325421302.
What is 96Th Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for 96Th Medical Group is Military/u.s. Coast Guard Outpatient, and the taxonomy code that categorizes this field of expertise is 261Qm1100X.
When did 96Th Medical Group receive its 1588647770 assignment?
The 96Th Medical Group was assigned its 1588647770 on 2005-11-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to 96Th Medical Group last refreshed?
The information related to the 96Th Medical Group, including its address, specialty, and other relevant details, was last updated on 2014-02-18.
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