Bdc Kansas City in Great Lakes - Military/u.s. Coast Guard Outpatient
Bdc Kansas City - NPI 1912191271
Bdc Kansas City is a Military/u.s. Coast Guard Outpatient in Great Lakes, Illinois. Bdc Kansas City practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Bdc Kansas City is 1912191271. The last update date is 2007-08-30.
Bdc Kansas City's current location address is 3001 6th St Ste A, Great Lakes, Illinois. You can contact this provider via phone number 8476884560. The mailing address for Bdc Kansas City is 3001 6th St Ste A, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bdc Kansas City |
|---|---|
| Address | 3001 6th St Ste A, Great Lakes, Illinois |
| Phone Number | 8476884560 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COMPTROLLE |
|---|---|
| Authorized Official Name | Griepentrog Duwayne |
| Telephone Number | 8476882888 |
NPI Number Detail
| NPI Number | 1912191271 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 3001 6th St Ste A |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600882833 |
| Phone Number | 8476884560 |
| 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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Bdc Kansas City by the Centers for Medicare & Medicaid Services?
The Bdc Kansas City has been assigned the NPI (National Provider Identifier) 1912191271. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bdc Kansas City is located?
The Bdc Kansas City is situated at the following address: 3001 6Th St Ste A, Great Lakes, IL, 600882833.
What is the Bdc Kansas City's specialty and taxonomy code?
The Bdc Kansas City's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912191271 to Bdc Kansas City?
The Centers for Medicare & Medicaid Services originally issued the 1912191271 to Bdc Kansas City on 2007-08-30.
As of what date was the information regarding Bdc Kansas City, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bdc Kansas City, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN