42D Medical Group in Maxwell Afb - Military/u.s. Coast Guard Outpatient
42D Medical Group - NPI 1033196878
42D Medical Group is a Military/u.s. Coast Guard Outpatient in Maxwell Afb, Alabama. 42D Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 42D Medical Group is 1033196878. The last update date is 2014-03-03.
42D Medical Group's current location address is 300 South Twining St, Maxwell Afb, Alabama. You can contact this provider via phone number 3349534943 and fax number 3349531741. The mailing address for 42D Medical Group is 300 South Twining St, Maxwell Afb, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 42D Medical Group |
|---|---|
| Address | 300 South Twining St, Maxwell Afb, Alabama |
| Phone Number | 3349534943 |
| Fax Number | 3349531741 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1033196878 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2014-03-03 |
Provider Mailing Address Detail
| Address | 300 South Twining St |
|---|---|
| City | Maxwell Afb |
| State | Alabama (AL) |
| Post Code | 361126219 |
| Phone Number | 3349534943 |
| Fax Number | 3349531741 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127123 | AL | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 42D Medical Group by the Centers for Medicare & Medicaid Services?
The 42D Medical Group has been issued the NPI (National Provider Identifier) 1033196878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where 42D Medical Group is physically located?
The 42D Medical Group is physically situated at the following address: 300 South Twining St, Maxwell Afb, AL, 361126219.
What is 42D Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The 42D 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 42D Medical Group receive the assignment of its 1033196878 from the Centers for Medicare & Medicaid Services?
The 42D Medical Group was issued its 1033196878 by the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the information regarding 42D Medical Group most recently updated?
The details pertaining to the 42D Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2014-03-03.
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