20Th Medical Group Shaw in Shaw Afb - Military/u.s. Coast Guard Outpatient
20Th Medical Group Shaw - NPI 1336112440
20Th Medical Group Shaw is a Military/u.s. Coast Guard Outpatient in Shaw Afb, South Carolina. 20Th Medical Group Shaw practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for 20Th Medical Group Shaw is 1336112440. The last update date is 2014-03-28.
20Th Medical Group Shaw's current location address is 431 Meadowlark St, Shaw Afb, South Carolina. You can contact this provider via phone number 8038956526 and fax number 8038956419. The mailing address for 20Th Medical Group Shaw is 431 Meadowlark St, Shaw Afb, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 20Th Medical Group Shaw |
|---|---|
| Address | 431 Meadowlark St, Shaw Afb, South Carolina |
| Phone Number | 8038956526 |
| Fax Number | 8038956419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AF UBO ANA |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1336112440 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2014-03-28 |
Provider Mailing Address Detail
| Address | 431 Meadowlark St |
|---|---|
| City | Shaw Afb |
| State | South Carolina (SC) |
| Post Code | 291525019 |
| Phone Number | 8038956526 |
| Fax Number | 8038956419 |
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 |
|---|---|---|---|
| 4222903 | SC | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to 20Th Medical Group Shaw by the Centers for Medicare & Medicaid Services?
The 20Th Medical Group Shaw has been assigned the NPI (National Provider Identifier) 1336112440 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where 20Th Medical Group Shaw's facilities are geographically located?
The facilities of 20Th Medical Group Shaw are physically situated at the following location: 431 Meadowlark St, Shaw Afb, SC, 291525019.
What is 20Th Medical Group Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The 20Th Medical Group Shaw's specialized field of practice is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1100X.
On what date did 20Th Medical Group Shaw receive its 1336112440 assignment from the Centers for Medicare & Medicaid Services?
The 20Th Medical Group Shaw was assigned its 1336112440 on 2006-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the 20Th Medical Group Shaw's information last updated?
The 20Th Medical Group Shaw's information was last updated on 2014-03-28.