45Th Medical Group in Patrick Afb - Military And U.s. Coast Guard Ambulatory Procedure
45Th Medical Group - NPI 1518941921
45Th Medical Group is a Military And U.s. Coast Guard Ambulatory Procedure in Patrick Afb, Florida. 45Th Medical Group practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 45Th Medical Group is 1518941921. The last update date is 2014-02-20.
45Th Medical Group's current location address is 1381 S Patrick Dr, Patrick Afb, Florida. You can contact this provider via phone number 3214948457 and fax number 3214947821. The mailing address for 45Th Medical Group is 1381 S Patrick Dr, Patrick Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 45Th Medical Group |
|---|---|
| Address | 1381 S Patrick Dr, Patrick Afb, Florida |
| Phone Number | 3214948457 |
| Fax Number | 3214947821 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1518941921 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 1381 S Patrick Dr |
|---|---|
| City | Patrick Afb |
| State | Florida (FL) |
| Post Code | 329253606 |
| Phone Number | 3214948457 |
| Fax Number | 3214947821 |
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 |
|---|---|---|---|
| 10-80465 | FL | NCPDP |
Post Comment/ Review Below
What is the unique provider identifier assigned to 45Th Medical Group?
The 45Th Medical Group has been issued the NPI (National Provider Identifier) 1518941921 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 45Th Medical Group is physically located?
The 45Th Medical Group is physically situated at the following address: 1381 S Patrick Dr, Patrick Afb, FL, 329253606.
What is 45Th Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for 45Th Medical Group is Military And U.s. Coast Guard Ambulatory Procedure, and the taxonomy code that classifies this field of practice is 261Qm1101X.
On what date was the 1518941921 assigned to 45Th Medical Group?
The 45Th Medical Group was issued its 1518941921 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to 45Th Medical Group most recently updated or revised?
The details related to 45Th Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-20.
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