27Th Medical Group in Cannon Afb - Military/u.s. Coast Guard Outpatient

27Th Medical Group - NPI 1285606384

27Th Medical Group is a Military/u.s. Coast Guard Outpatient in Cannon Afb, New Mexico. 27Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 27Th Medical Group is 1285606384. The last update date is 2010-11-15.

27Th Medical Group's current location address is 208 W Casablanca Ave, Cannon Afb, New Mexico. You can contact this provider via phone number 5057844023 and fax number 5057847749. The mailing address for 27Th Medical Group is 208 W Casablanca Ave, Cannon Afb, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization 27Th Medical Group
Address 208 W Casablanca Ave, Cannon Afb, New Mexico
Phone Number 5057844023
Fax Number 5057847749
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AIR FORCE
Authorized Official Name Hansken Lynn Serena
Telephone Number 7035886419

NPI Number Detail

NPI Number 1285606384
Provider Enumeration Date 2006-02-02
Last Updated Date 2010-11-15

Provider Mailing Address Detail

Address 208 W Casablanca Ave
City Cannon Afb
State New Mexico (NM)
Post Code 881035009
Phone Number 5057844023
Fax Number 5057847749

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
3210185 NM NCPDP

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FAQs about 27Th Medical Group

What is the unique identification code assigned to 27Th Medical Group by the Centers for Medicare & Medicaid Services?

The 27Th Medical Group has been issued the NPI (National Provider Identifier) 1285606384. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where 27Th Medical Group is located?

The 27Th Medical Group is situated at the following address: 208 W Casablanca Ave, Cannon Afb, NM, 881035009.

What is 27Th Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The 27Th Medical Group's area of specialization is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1100X.

On what date did the 27Th Medical Group receive the assignment of its 1285606384 from the Centers for Medicare & Medicaid Services?

The 27Th Medical Group was issued its 1285606384 by the Centers for Medicare & Medicaid Services on 2006-02-02.

As of what date were the 27Th Medical Group's details last updated?

The information pertaining to the 27Th Medical Group, including its address, specialty, and other details, was most recently updated on 2010-11-15.

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