Kimbrough Acc Military Mtf in Fort Meade - Military/u.s. Coast Guard Outpatient

Kimbrough Acc Military Mtf - NPI 1508072281

Kimbrough Acc Military Mtf is a Military/u.s. Coast Guard Outpatient in Fort Meade, Maryland. Kimbrough Acc Military Mtf practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Kimbrough Acc Military Mtf is 1508072281. The last update date is 2013-08-09.

Kimbrough Acc Military Mtf's current location address is 2480 Llewellyn Ave, Fort Meade, Maryland. You can contact this provider via phone number 3016778253. The mailing address for Kimbrough Acc Military Mtf is 2480 Llewellyn Ave, Fort Meade, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimbrough Acc Military Mtf
Address 2480 Llewellyn Ave, Fort Meade, Maryland
Phone Number 3016778253
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C, UBO
Authorized Official Name Kimbrow Terri
Telephone Number 3016778512

NPI Number Detail

NPI Number 1508072281
Provider Enumeration Date 2007-05-16
Last Updated Date 2013-08-09

Provider Mailing Address Detail

Address 2480 Llewellyn Ave
City Fort Meade
State Maryland (MD)
Post Code 207557081
Phone Number 3016778253
Fax Number

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
1164507703 PARENT FACILITY NPI

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FAQs about Kimbrough Acc Military Mtf

What is the unique 10-digit identification code assigned to Kimbrough Acc Military Mtf by the Centers for Medicare & Medicaid Services?

The Kimbrough Acc Military Mtf has been issued the NPI (National Provider Identifier) 1508072281, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kimbrough Acc Military Mtf is physically located?

The Kimbrough Acc Military Mtf is physically situated at the following address: 2480 Llewellyn Ave, Fort Meade, MD, 207557081.

What is Kimbrough Acc Military Mtf's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimbrough Acc Military Mtf is Military/u.s. Coast Guard Outpatient, and the taxonomy code that categorizes this field of expertise is 261Qm1100X.

On what date was the 1508072281 assigned to Kimbrough Acc Military Mtf?

The Kimbrough Acc Military Mtf was issued its 1508072281 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kimbrough Acc Military Mtf most recently updated or refreshed?

The details pertaining to the Kimbrough Acc Military Mtf, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-08-09.

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