10Th Medical Group in Usaf Academy - Military/u.s. Coast Guard Outpatient
10Th Medical Group - NPI 1780657239
10Th Medical Group is a Military/u.s. Coast Guard Outpatient in Usaf Academy, Colorado. 10Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 10Th Medical Group is 1780657239. The last update date is 2016-04-29.
10Th Medical Group's current location address is 4102 Pinion Dr, Usaf Academy, Colorado. You can contact this provider via phone number 7193335648 and fax number 7193335202. The mailing address for 10Th Medical Group is 4102 Pinion Dr, Usaf Academy, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 10Th Medical Group |
|---|---|
| Address | 4102 Pinion Dr, Usaf Academy, Colorado |
| Phone Number | 7193335648 |
| Fax Number | 7193335202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Ridder Lynn Jody |
| Telephone Number | 7036816384 |
NPI Number Detail
| NPI Number | 1780657239 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2016-04-29 |
Provider Mailing Address Detail
| Address | 4102 Pinion Dr |
|---|---|
| City | Usaf Academy |
| State | Colorado (CO) |
| Post Code | 808402502 |
| Phone Number | 7193335648 |
| Fax Number | 7193335202 |
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 |
|---|---|---|---|
| 616536 | CO | NCPDP |
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What is the unique identifier code issued to 10Th Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The 10Th Medical Group has been assigned the NPI (National Provider Identifier) 1780657239. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the 10Th Medical Group located?
The 10Th Medical Group is located at 4102 Pinion Dr, Usaf Academy, CO 808402502.
What is the 10Th Medical Group's specialty and taxonomy code?
The 10Th Medical Group's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780657239 to 10Th Medical Group?
The 10Th Medical Group received its 1780657239 assignment from the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the 10Th Medical Group's information last updated?
The 10Th Medical Group's information was last updated on 2016-04-29.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH