21St Medical Group in Peterson Afb - Military And U.s. Coast Guard Ambulatory Procedure
21St Medical Group - NPI 1942286224
21St Medical Group is a Military And U.s. Coast Guard Ambulatory Procedure in Peterson Afb, Colorado. 21St Medical Group practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 21St Medical Group is 1942286224. The last update date is 2014-02-20.
21St Medical Group's current location address is 559 Vincent St, Peterson Afb, Colorado. You can contact this provider via phone number 7195561250. The mailing address for 21St Medical Group is 559 Vincent St, Peterson Afb, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 21St Medical Group |
|---|---|
| Address | 559 Vincent St, Peterson Afb, Colorado |
| Phone Number | 7195561250 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1942286224 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 559 Vincent St |
|---|---|
| City | Peterson Afb |
| State | Colorado (CO) |
| Post Code | 809141541 |
| Phone Number | 7195561250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military And U.s. Coast Guard Ambulatory Procedure |
|---|---|
| Taxonomy | 261Qm1101X |
|
Definition: That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Gu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06-16788 | CO | NCPDP | |
| 1548369259 | CO | NPPES |
Post Comment/ Review Below
What is the unique identifier code issued to 21St Medical Group by the Centers for Medicare & Medicaid Services?
The 21St Medical Group has been assigned the NPI (National Provider Identifier) 1942286224. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of 21St Medical Group?
The 21St Medical Group is situated at 559 Vincent St, in the city of Peterson Afb, state of CO, with the zip code 809141541.
What is 21St Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The 21St Medical Group's area of specialization is Military And U.s. Coast Guard Ambulatory Procedure, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1101X.
When did the 21St Medical Group receive its 1942286224?
The 21St Medical Group was issued its 1942286224 on 2005-12-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to 21St Medical Group most recently updated or revised?
The information pertaining to 21St Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-20.