David Grant Medical Center in Travis Afb - Military And U.s. Coast Guard Ambulatory Procedure
David Grant Medical Center - NPI 1205896701
David Grant Medical Center is a Military And U.s. Coast Guard Ambulatory Procedure in Travis Afb, California. David Grant Medical Center practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for David Grant Medical Center is 1205896701. The last update date is 2014-02-20.
David Grant Medical Center's current location address is 101 Bodin Cir, Travis Afb, California. You can contact this provider via phone number 7074517913 and fax number 7074237574. The mailing address for David Grant Medical Center is 101 Bodin Cir, Travis Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Grant Medical Center |
|---|---|
| Address | 101 Bodin Cir, Travis Afb, California |
| Phone Number | 7074517913 |
| Fax Number | 7074237574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1205896701 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 101 Bodin Cir |
|---|---|
| City | Travis Afb |
| State | California (CA) |
| Post Code | 945351809 |
| Phone Number | 7074517913 |
| Fax Number | 7074237574 |
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 |
|---|---|---|---|
| 37-22217 | CA | NCPDP |
Post Comment/ Review Below
What is the David Grant Medical Center's 1205896701?
The David Grant Medical Center's NPI (National Provider Identifier) Number is 1205896701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David Grant Medical Center?
The David Grant Medical Center is physically situated at 101 Bodin Cir, in the city of Travis Afb, state of CA, with the postal code 945351809.
What is David Grant Medical Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Grant Medical Center is Military And U.s. Coast Guard Ambulatory Procedure, and the taxonomy code that categorizes this field of expertise is 261Qm1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205896701 to David Grant Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1205896701 to David Grant Medical Center on 2006-03-27.
When was the information regarding David Grant Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Grant Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-20.
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