375Th Medical Group in Scott Afb - Military/u.s. Coast Guard Outpatient
375Th Medical Group - NPI 1851373161
375Th Medical Group is a Military/u.s. Coast Guard Outpatient in Scott Afb, Illinois. 375Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 375Th Medical Group is 1851373161. The last update date is 2007-08-16.
375Th Medical Group's current location address is 310 W Losey St, Scott Afb, Illinois. You can contact this provider via phone number 6182567392. The mailing address for 375Th Medical Group is 310 W Losey St, Scott Afb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 375Th Medical Group |
|---|---|
| Address | 310 W Losey St, Scott Afb, Illinois |
| Phone Number | 6182567392 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Eaton Douglas Christopher |
| Telephone Number | 7036816303 |
NPI Number Detail
| NPI Number | 1851373161 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 310 W Losey St |
|---|---|
| City | Scott Afb |
| State | Illinois (IL) |
| Post Code | 622255250 |
| Phone Number | 6182567392 |
| 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 375Th Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The 375Th Medical Group has been assigned the NPI (National Provider Identifier) 1851373161. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the 375Th Medical Group's physical address?
The 375Th Medical Group is physically located at 310 W Losey St, in the city of Scott Afb, IL, with the postal code 622255250.
What is 375Th 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 375Th Medical Group is Military/u.s. Coast Guard Outpatient, and the taxonomy code that categorizes this field of expertise is 261Qm1100X.
When was the 375Th Medical Group's 1851373161 issued?
The 375Th Medical Group's 1851373161 was issued on 2005-11-14.
When was the 375Th Medical Group's information last updated?
The 375Th Medical Group's information was last updated on 2007-08-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY