2 Mdss Sgsr in Barksdale Afb - Military/u.s. Coast Guard Outpatient

2 Mdss Sgsr - NPI 1205800109

2 Mdss Sgsr is a Military/u.s. Coast Guard Outpatient in Barksdale Afb, Louisiana. 2 Mdss Sgsr practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 2 Mdss Sgsr is 1205800109. The last update date is 2014-02-28.

2 Mdss Sgsr's current location address is 243 Curtiss Rd, Barksdale Afb, Louisiana. You can contact this provider via phone number 3184566055 and fax number 3184566065. The mailing address for 2 Mdss Sgsr is 243 Curtiss Rd, Barksdale Afb, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization 2 Mdss Sgsr
Address 243 Curtiss Rd, Barksdale Afb, Louisiana
Phone Number 3184566055
Fax Number 3184566065
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AIR FORCE
Authorized Official Name Mitchell Marie Theresa
Telephone Number 7036817613

NPI Number Detail

NPI Number 1205800109
Provider Enumeration Date 2006-02-15
Last Updated Date 2014-02-28

Provider Mailing Address Detail

Address 243 Curtiss Rd
City Barksdale Afb
State Louisiana (LA)
Post Code 711102425
Phone Number 3184566055
Fax Number 3184566065

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1929299 LA NCPDP

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FAQs about 2 Mdss Sgsr

What is the unique identifier code issued to 2 Mdss Sgsr by the Centers for Medicare & Medicaid Services?

The 2 Mdss Sgsr has been assigned the NPI (National Provider Identifier) 1205800109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where 2 Mdss Sgsr's facilities are situated?

The facilities of 2 Mdss Sgsr are physically located at the following address: 243 Curtiss Rd, Barksdale Afb, LA, 711102425.

What is 2 Mdss Sgsr's specialized field of practice, and what is the corresponding taxonomy classification code?

The 2 Mdss Sgsr's area of specialization is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1100X.

When did 2 Mdss Sgsr receive its 1205800109 assignment?

The 2 Mdss Sgsr was assigned its 1205800109 on 2006-02-15, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to 2 Mdss Sgsr most recently updated or revised?

The details related to 2 Mdss Sgsr, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-28.

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