Nbhc Nctc Inpr Great Lakes in Great Lakes - Military/u.s. Coast Guard Outpatient
Nbhc Nctc Inpr Great Lakes - NPI 1922292291
Nbhc Nctc Inpr Great Lakes is a Military/u.s. Coast Guard Outpatient in Great Lakes, Illinois. Nbhc Nctc Inpr Great Lakes practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Nbhc Nctc Inpr Great Lakes is 1922292291. The last update date is 2007-08-30.
Nbhc Nctc Inpr 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 Inpr 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 Inpr Great Lakes |
|---|---|
| Address | 3001 6th St Ste A, Great Lakes, Illinois |
| Phone Number | 8476884560 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COMPTOLLER |
|---|---|
| Authorized Official Name | Brozek Duwayne |
| Telephone Number | 8476882888 |
NPI Number Detail
| NPI Number | 1922292291 |
|---|---|
| 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 |
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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 10-digit identifier code issued to Nbhc Nctc Inpr Great Lakes by the Centers for Medicare & Medicaid Services?
The Nbhc Nctc Inpr Great Lakes has been assigned the NPI (National Provider Identifier) 1922292291 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Nbhc Nctc Inpr Great Lakes?
The Nbhc Nctc Inpr Great Lakes is situated at 3001 6Th St Ste A, in the city of Great Lakes, state of IL, with the zip code 600882833.
What is the Nbhc Nctc Inpr Great Lakes's specialty and taxonomy code?
The Nbhc Nctc Inpr Great Lakes's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.
On what date did Nbhc Nctc Inpr Great Lakes receive its 1922292291 assignment from the Centers for Medicare & Medicaid Services?
The Nbhc Nctc Inpr Great Lakes was assigned its 1922292291 on 2007-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Nbhc Nctc Inpr Great Lakes's details last updated?
The information pertaining to the Nbhc Nctc Inpr Great Lakes, including its address, specialty, and other details, was most recently updated on 2007-08-30.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY