22 Medical Group in Mcconnell Afb - Military/u.s. Coast Guard Outpatient
22 Medical Group - NPI 1700846813
22 Medical Group is a Military/u.s. Coast Guard Outpatient in Mcconnell Afb, Kansas. 22 Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 22 Medical Group is 1700846813. The last update date is 2014-02-18.
22 Medical Group's current location address is 57950 Leavenworth St 6e4, Mcconnell Afb, Kansas. You can contact this provider via phone number 3167595000 and fax number 3167595038. The mailing address for 22 Medical Group is 57950 Leavenworth St 6e4, Mcconnell Afb, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 22 Medical Group |
|---|---|
| Address | 57950 Leavenworth St 6e4, Mcconnell Afb, Kansas |
| Phone Number | 3167595000 |
| Fax Number | 3167595038 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1700846813 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 57950 Leavenworth St 6e4 |
|---|---|
| City | Mcconnell Afb |
| State | Kansas (KS) |
| Post Code | 672213506 |
| Phone Number | 3167595000 |
| Fax Number | 3167595038 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17-17517 | KS | NCPDP |
Post Comment/ Review Below
What is the unique provider identifier assigned to 22 Medical Group?
The 22 Medical Group has been issued the NPI (National Provider Identifier) 1700846813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where 22 Medical Group is located?
The 22 Medical Group is situated at the following address: 57950 Leavenworth St 6E4, Mcconnell Afb, KS, 672213506.
What is the area of specialization for 22 Medical Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for 22 Medical Group is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700846813 to 22 Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1700846813 to 22 Medical Group on 2006-03-23.
As of what date were the details pertaining to 22 Medical Group last refreshed?
The information related to the 22 Medical Group, including its address, specialty, and other relevant details, was last updated on 2014-02-18.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX