Kimbrough Acc Military Mtf in Fort Meade - Military And U.s. Coast Guard Ambulatory Procedure

Kimbrough Acc Military Mtf - NPI 1164507703

Kimbrough Acc Military Mtf is a Military And U.s. Coast Guard Ambulatory Procedure in Fort Meade, Maryland. Kimbrough Acc Military Mtf practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for Kimbrough Acc Military Mtf is 1164507703. The last update date is 2015-04-01.

Kimbrough Acc Military Mtf's current location address is 2480 Llewellyn Ave, Fort Meade, Maryland. You can contact this provider via phone number 3016778800. The mailing address for Kimbrough Acc Military Mtf is 2480 Llewellyn Ave, Fort Meade, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimbrough Acc Military Mtf
Address 2480 Llewellyn Ave, Fort Meade, Maryland
Phone Number 3016778800
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position UBO MANAGE
Authorized Official Name Kimbrow Terri
Telephone Number 3016778512

NPI Number Detail

NPI Number 1164507703
Provider Enumeration Date 2006-10-25
Last Updated Date 2015-04-01

Provider Mailing Address Detail

Address 2480 Llewellyn Ave
City Fort Meade
State Maryland (MD)
Post Code 207557081
Phone Number 3016778800
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
02DT BCBS FEDERAL
AN2598588 MEDCO
1447357298 / 21 PHARMACY NPI/NCPDP

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FAQs about Kimbrough Acc Military Mtf

What is the Kimbrough Acc Military Mtf's unique identification number?

The Kimbrough Acc Military Mtf has been assigned the NPI (National Provider Identifier) Number 1164507703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kimbrough Acc Military Mtf is located?

The Kimbrough Acc Military Mtf is situated at the following address: 2480 Llewellyn Ave, Fort Meade, MD, 207557081.

What is the Kimbrough Acc Military Mtf's area of specialization and corresponding taxonomy classification?

The Kimbrough Acc Military Mtf's specialty field is Military And U.s. Coast Guard Ambulatory Procedure, and it falls under the taxonomy code 261Qm1101X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1164507703 to Kimbrough Acc Military Mtf?

The Centers for Medicare & Medicaid Services assigned the 1164507703 to Kimbrough Acc Military Mtf on 2006-10-25.

When was the information regarding Kimbrough Acc Military Mtf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kimbrough Acc Military Mtf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-01.

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