30Th Medical Group in Vandenberg Afb - Military And U.s. Coast Guard Ambulatory Procedure
30Th Medical Group - NPI 1477536126
30Th Medical Group is a Military And U.s. Coast Guard Ambulatory Procedure in Vandenberg Afb, California. 30Th Medical Group practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 30Th Medical Group is 1477536126. The last update date is 2010-11-12.
30Th Medical Group's current location address is 338 S Dakota Ave, Vandenberg Afb, California. You can contact this provider via phone number 8056063012 and fax number 8056064474. The mailing address for 30Th Medical Group is 338 S Dakota Ave, Vandenberg Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 30Th Medical Group |
|---|---|
| Address | 338 S Dakota Ave, Vandenberg Afb, California |
| Phone Number | 8056063012 |
| Fax Number | 8056064474 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Hansken Lynn Serena |
| Telephone Number | 7035886419 |
NPI Number Detail
| NPI Number | 1477536126 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2010-11-12 |
Provider Mailing Address Detail
| Address | 338 S Dakota Ave |
|---|---|
| City | Vandenberg Afb |
| State | California (CA) |
| Post Code | 934376307 |
| Phone Number | 8056063012 |
| Fax Number | 8056064474 |
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 |
|---|---|---|---|
| 05-49759 | CA | NCPDP |
Post Comment/ Review Below
What is the unique provider identifier assigned to 30Th Medical Group?
The 30Th Medical Group has been issued the NPI (National Provider Identifier) 1477536126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where 30Th Medical Group is physically located?
The 30Th Medical Group is physically situated at the following address: 338 S Dakota Ave, Vandenberg Afb, CA, 934376307.
What is the area of specialization for 30Th Medical Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for 30Th Medical Group 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 30Th Medical Group receive the assignment of its 1477536126 from the Centers for Medicare & Medicaid Services?
The 30Th Medical Group was issued its 1477536126 by the Centers for Medicare & Medicaid Services on 2005-11-28.
As of what date was the information regarding 30Th Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 30Th Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-12.
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