97Th Medical Group in Altus Afb - Military And U.s. Coast Guard Ambulatory Procedure
97Th Medical Group - NPI 1093782880
97Th Medical Group is a Military And U.s. Coast Guard Ambulatory Procedure in Altus Afb, Oklahoma. 97Th Medical Group practices all healthcare services and medical treatments related to Military And U.s. Coast Guard Ambulatory Procedure. The NPI Number for 97Th Medical Group is 1093782880. The last update date is 2010-11-15.
97Th Medical Group's current location address is 301 N 1st St, Altus Afb, Oklahoma. You can contact this provider via phone number 5804815400 and fax number 5804815416. The mailing address for 97Th Medical Group is 301 N 1st St, Altus Afb, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 97Th Medical Group |
|---|---|
| Address | 301 N 1st St, Altus Afb, Oklahoma |
| Phone Number | 5804815400 |
| Fax Number | 5804815416 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Hansken Lynn Serena |
| Telephone Number | 7035886419 |
NPI Number Detail
| NPI Number | 1093782880 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2010-11-15 |
Provider Mailing Address Detail
| Address | 301 N 1st St |
|---|---|
| City | Altus Afb |
| State | Oklahoma (OK) |
| Post Code | 735235004 |
| Phone Number | 5804815400 |
| Fax Number | 5804815416 |
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 |
|---|---|---|---|
| 3720225 | OK | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 97Th Medical Group by the Centers for Medicare & Medicaid Services?
The 97Th Medical Group has been issued the NPI (National Provider Identifier) 1093782880, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where 97Th Medical Group is physically located?
The 97Th Medical Group is physically situated at the following address: 301 N 1St St, Altus Afb, OK, 735235004.
What is 97Th Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The 97Th Medical Group's specialized field of practice is Military And U.s. Coast Guard Ambulatory Procedure, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1101X.
On what date did 97Th Medical Group receive its 1093782880 assignment from the Centers for Medicare & Medicaid Services?
The 97Th Medical Group was assigned its 1093782880 on 2006-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to 97Th Medical Group most recently updated or revised?
The details related to 97Th Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-15.