66 Mdss-Sgsr in Hanscom Afb - Military/u.s. Coast Guard Outpatient
66 Mdss-Sgsr - NPI 1508831553
66 Mdss-Sgsr is a Military/u.s. Coast Guard Outpatient in Hanscom Afb, Massachusetts. 66 Mdss-Sgsr practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 66 Mdss-Sgsr is 1508831553. The last update date is 2014-02-18.
66 Mdss-Sgsr's current location address is 90 Vandenberg Dr, Hanscom Afb, Massachusetts. You can contact this provider via phone number 7813771770 and fax number 7813779840. The mailing address for 66 Mdss-Sgsr is 90 Vandenberg Dr, Hanscom Afb, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 66 Mdss-Sgsr |
|---|---|
| Address | 90 Vandenberg Dr, Hanscom Afb, Massachusetts |
| Phone Number | 7813771770 |
| Fax Number | 7813779840 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1508831553 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 90 Vandenberg Dr |
|---|---|
| City | Hanscom Afb |
| State | Massachusetts (MA) |
| Post Code | 17312104 |
| Phone Number | 7813771770 |
| Fax Number | 7813779840 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-38029 | MA | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 66 Mdss-Sgsr by the Centers for Medicare & Medicaid Services?
The 66 Mdss-Sgsr has been issued the NPI (National Provider Identifier) 1508831553 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where 66 Mdss-Sgsr's facilities are situated?
The facilities of 66 Mdss-Sgsr are physically located at the following address: 90 Vandenberg Dr, Hanscom Afb, MA, 17312104.
What is 66 Mdss-Sgsr's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for 66 Mdss-Sgsr is Military/u.s. Coast Guard Outpatient, and the taxonomy code that categorizes this field of expertise is 261Qm1100X.
When did the 66 Mdss-Sgsr receive its 1508831553?
The 66 Mdss-Sgsr was issued its 1508831553 on 2006-02-22, which is the date when the organization was assigned this unique identifier.
As of what date were the 66 Mdss-Sgsr's details last updated?
The information pertaining to the 66 Mdss-Sgsr, including its address, specialty, and other details, was most recently updated on 2014-02-18.