509Th Medical Group-Sgsr in Whiteman Afb - Military/u.s. Coast Guard Outpatient
509Th Medical Group-Sgsr - NPI 1033196480
509Th Medical Group-Sgsr is a Military/u.s. Coast Guard Outpatient in Whiteman Afb, Missouri. 509Th Medical Group-Sgsr practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 509Th Medical Group-Sgsr is 1033196480. The last update date is 2014-02-28.
509Th Medical Group-Sgsr's current location address is 331 Sijan Ave, Whiteman Afb, Missouri. You can contact this provider via phone number 6606871838 and fax number 6606875121. The mailing address for 509Th Medical Group-Sgsr is 331 Sijan Ave, Whiteman Afb, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 509Th Medical Group-Sgsr |
|---|---|
| Address | 331 Sijan Ave, Whiteman Afb, Missouri |
| Phone Number | 6606871838 |
| Fax Number | 6606875121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1033196480 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2014-02-28 |
Provider Mailing Address Detail
| Address | 331 Sijan Ave |
|---|---|
| City | Whiteman Afb |
| State | Missouri (MO) |
| Post Code | 653051269 |
| Phone Number | 6606871838 |
| Fax Number | 6606875121 |
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 |
|---|---|---|---|
| 2632897 | MO | NCPDP |
Post Comment/ Review Below
What is the 509Th Medical Group-Sgsr's unique identification number?
The 509Th Medical Group-Sgsr has been assigned the NPI (National Provider Identifier) Number 1033196480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of 509Th Medical Group-Sgsr?
The 509Th Medical Group-Sgsr is situated at 331 Sijan Ave, in the city of Whiteman Afb, state of MO, with the zip code 653051269.
What is 509Th Medical Group-Sgsr's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for 509Th Medical Group-Sgsr is Military/u.s. Coast Guard Outpatient, and the taxonomy classification code that categorizes this area of expertise is 261Qm1100X.
When did 509Th Medical Group-Sgsr receive its 1033196480 assignment?
The 509Th Medical Group-Sgsr was assigned its 1033196480 on 2005-12-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding 509Th Medical Group-Sgsr most recently updated?
The details pertaining to the 509Th Medical Group-Sgsr, including its address, specialty, and other relevant information, were last refreshed on 2014-02-28.