Nbhc Nctc Great Lakes in Great Lakes - Military/u.s. Coast Guard Outpatient
Nbhc Nctc Great Lakes - NPI 1295928257
Nbhc Nctc Great Lakes is a Military/u.s. Coast Guard Outpatient in Great Lakes, Illinois. Nbhc Nctc Great Lakes practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Nbhc Nctc Great Lakes is 1295928257. The last update date is 2007-08-23.
Nbhc Nctc Great Lakes'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 Nbhc Nctc Great Lakes is 3001 6th St Ste A, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nbhc Nctc Great Lakes |
|---|---|
| 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 | 1295928257 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
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 |
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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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What is the unique identifier code issued to Nbhc Nctc Great Lakes by the Centers for Medicare & Medicaid Services (CMS)?
The Nbhc Nctc Great Lakes has been assigned the NPI (National Provider Identifier) 1295928257. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Nbhc Nctc Great Lakes's physical address?
The Nbhc Nctc Great Lakes is physically located at 3001 6Th St Ste A, in the city of Great Lakes, IL, with the postal code 600882833.
What is the Nbhc Nctc Great Lakes's specialty and taxonomy code?
The Nbhc Nctc Great Lakes'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 1295928257 to Nbhc Nctc Great Lakes?
The Centers for Medicare & Medicaid Services originally issued the 1295928257 to Nbhc Nctc Great Lakes on 2007-08-23.
When was the information related to Nbhc Nctc Great Lakes most recently updated or refreshed?
The details pertaining to the Nbhc Nctc Great Lakes, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-23.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH