95Th Medical Group Sgsr in Edwards Afb - Military And U.s. Coast Guard Ambulatory Procedure
95Th Medical Group Sgsr - NPI 1891765046
95Th Medical Group Sgsr is a Military And U.s. Coast Guard Ambulatory Procedure in Edwards Afb, California. 95Th Medical Group Sgsr practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 95Th Medical Group Sgsr is 1891765046. The last update date is 2014-03-10.
95Th Medical Group Sgsr's current location address is 30 Nightingale Rd, Edwards Afb, California. You can contact this provider via phone number 6612752634 and fax number 6612776645. The mailing address for 95Th Medical Group Sgsr is 30 Nightingale Rd, Edwards Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 95Th Medical Group Sgsr |
|---|---|
| Address | 30 Nightingale Rd, Edwards Afb, California |
| Phone Number | 6612752634 |
| Fax Number | 6612776645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1891765046 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2014-03-10 |
Provider Mailing Address Detail
| Address | 30 Nightingale Rd |
|---|---|
| City | Edwards Afb |
| State | California (CA) |
| Post Code | 935240001 |
| Phone Number | 6612752634 |
| Fax Number | 6612776645 |
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 |
|---|---|---|---|
| 05-40345 | CA | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 95Th Medical Group Sgsr by the Centers for Medicare & Medicaid Services?
The 95Th Medical Group Sgsr has been issued the NPI (National Provider Identifier) 1891765046, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the 95Th Medical Group Sgsr's physical address?
The 95Th Medical Group Sgsr is physically located at 30 Nightingale Rd, in the city of Edwards Afb, CA, with the postal code 935240001.
What is 95Th Medical Group Sgsr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for 95Th Medical Group Sgsr is Military And U.s. Coast Guard Ambulatory Procedure, and the taxonomy code that classifies this field of practice is 261Qm1101X.
When did the 95Th Medical Group Sgsr receive its 1891765046?
The 95Th Medical Group Sgsr was issued its 1891765046 on 2006-01-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to 95Th Medical Group Sgsr most recently updated or revised?
The information pertaining to 95Th Medical Group Sgsr, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-10.