28Th Medical Group in Ellsworth Afb - Military And U.s. Coast Guard Ambulatory Procedure
28Th Medical Group - NPI 1023091642
28Th Medical Group is a Military And U.s. Coast Guard Ambulatory Procedure in Ellsworth Afb, South Dakota. 28Th Medical Group practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 28Th Medical Group is 1023091642. The last update date is 2014-03-03.
28Th Medical Group's current location address is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can contact this provider via phone number 6053853311 and fax number 6053853234. The mailing address for 28Th Medical Group is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 28Th Medical Group |
|---|---|
| Address | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
| Phone Number | 6053853311 |
| Fax Number | 6053853234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1023091642 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2014-03-03 |
Provider Mailing Address Detail
| Address | 2900 Doolittle Dr |
|---|---|
| City | Ellsworth Afb |
| State | South Dakota (SD) |
| Post Code | 577064821 |
| Phone Number | 6053853311 |
| Fax Number | 6053853234 |
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 |
|---|---|---|---|
| 5351000 | SD | -- | |
| 4304969 | SD | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 28Th Medical Group by the Centers for Medicare & Medicaid Services?
The 28Th Medical Group has been issued the NPI (National Provider Identifier) 1023091642, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where 28Th Medical Group is geographically located?
The 28Th Medical Group is physically situated at the following location: 2900 Doolittle Dr, Ellsworth Afb, SD, 577064821.
What is the area of specialization for 28Th Medical Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for 28Th Medical Group is Military And U.s. Coast Guard Ambulatory Procedure, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1101X.
When was the 28Th Medical Group's 1023091642 issued?
The 28Th Medical Group's 1023091642 was issued on 2005-11-29.
As of what date were the 28Th Medical Group's details last updated?
The information pertaining to the 28Th Medical Group, including its address, specialty, and other details, was most recently updated on 2014-03-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY