355 Mdg in Tucson - Military And U.s. Coast Guard Ambulatory Procedure

355 Mdg - NPI 1245210384

355 Mdg is a Military And U.s. Coast Guard Ambulatory Procedure in Tucson, Arizona. 355 Mdg practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 355 Mdg is 1245210384. The last update date is 2010-11-15.

355 Mdg's current location address is 4175 S Alamo Ave, Tucson, Arizona. You can contact this provider via phone number 5202281506 and fax number 5202280183. The mailing address for 355 Mdg is 4175 S Alamo Ave, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization 355 Mdg
Address 4175 S Alamo Ave, Tucson, Arizona
Phone Number 5202281506
Fax Number 5202280183
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AIR FORCE
Authorized Official Name Hansken Lynn Serena
Telephone Number 7035886419

NPI Number Detail

NPI Number 1245210384
Provider Enumeration Date 2006-01-17
Last Updated Date 2010-11-15

Provider Mailing Address Detail

Address 4175 S Alamo Ave
City Tucson
State Arizona (AZ)
Post Code 857076097
Phone Number 5202281506
Fax Number 5202280183

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
322103 AZ NCPDP

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FAQs about 355 Mdg

What is the unique 10-digit identifier code issued to 355 Mdg by the Centers for Medicare & Medicaid Services?

The 355 Mdg has been assigned the NPI (National Provider Identifier) 1245210384 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where 355 Mdg's facilities are situated?

The facilities of 355 Mdg are physically located at the following address: 4175 S Alamo Ave, Tucson, AZ, 857076097.

What is the area of specialization for 355 Mdg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for 355 Mdg is Military And U.s. Coast Guard Ambulatory Procedure, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1101X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245210384 to 355 Mdg?

The Centers for Medicare & Medicaid Services originally issued the 1245210384 to 355 Mdg on 2006-01-17.

As of what date was the information pertaining to 355 Mdg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to 355 Mdg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-15.

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