436Th Medical Grp in Dover Afb - Military And U.s. Coast Guard Ambulatory Procedure
436Th Medical Grp - NPI 1437112646
436Th Medical Grp is a Military And U.s. Coast Guard Ambulatory Procedure in Dover Afb, Delaware. 436Th Medical Grp practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 436Th Medical Grp is 1437112646. The last update date is 2014-05-20.
436Th Medical Grp's current location address is 300 Tuskegee Blvd, Dover Afb, Delaware. You can contact this provider via phone number 3026772649 and fax number 3026772051. The mailing address for 436Th Medical Grp is 300 Tuskegee Blvd, Dover Afb, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 436Th Medical Grp |
|---|---|
| Address | 300 Tuskegee Blvd, Dover Afb, Delaware |
| Phone Number | 3026772649 |
| Fax Number | 3026772051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell M. Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1437112646 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2014-05-20 |
Provider Mailing Address Detail
| Address | 300 Tuskegee Blvd |
|---|---|
| City | Dover Afb |
| State | Delaware (DE) |
| Post Code | 199025003 |
| Phone Number | 3026772649 |
| Fax Number | 3026772051 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08-03735 | DE | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to 436Th Medical Grp by the Centers for Medicare & Medicaid Services?
The 436Th Medical Grp has been assigned the NPI (National Provider Identifier) 1437112646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where 436Th Medical Grp is geographically located?
The 436Th Medical Grp is physically situated at the following location: 300 Tuskegee Blvd, Dover Afb, DE, 199025003.
What is 436Th Medical Grp'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 436Th Medical Grp is Military And U.s. Coast Guard Ambulatory Procedure, and the taxonomy classification code that categorizes this area of expertise is 261Qm1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437112646 to 436Th Medical Grp?
The 436Th Medical Grp received its 1437112646 assignment from the Centers for Medicare & Medicaid Services on 2006-04-10.
As of what date was the information pertaining to 436Th Medical Grp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to 436Th Medical Grp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-20.
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