579Th Medical Group in Andrews Afb - Military Ambulatory Procedure Visits Operational (transportable)
579Th Medical Group - NPI 1013988328
579Th Medical Group is a Military Ambulatory Procedure Visits Operational (transportable) in Andrews Afb, Maryland. 579Th Medical Group practices all healthcare services and medical treatments related to Military Ambulatory Procedure Visits Operational (transportable). The NPI Number for 579Th Medical Group is 1013988328. The last update date is 2014-02-24.
579Th Medical Group's current location address is 1050 W Perimeter Rd Fb14, Andrews Afb, Maryland. You can contact this provider via phone number 2024043602 and fax number 2024048233. The mailing address for 579Th Medical Group is 1050 W Perimeter Rd Fb14, Andrews Afb, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 579Th Medical Group |
|---|---|
| Address | 1050 W Perimeter Rd Fb14, Andrews Afb, Maryland |
| Phone Number | 2024043602 |
| Fax Number | 2024048233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Mitchell Marie Theresa |
| Telephone Number | 7036817613 |
NPI Number Detail
| NPI Number | 1013988328 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2014-02-24 |
Provider Mailing Address Detail
| Address | 1050 W Perimeter Rd Fb14 |
|---|---|
| City | Andrews Afb |
| State | Maryland (MD) |
| Post Code | 207626600 |
| Phone Number | 2024043602 |
| Fax Number | 2024048233 |
Provider's Primary Taxonomy Detail
| Speciality | Military Ambulatory Procedure Visits Operational (transportable) |
|---|---|
| Taxonomy | 261Qm1103X |
|
Definition: Non-fixed facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09-04208 | DC | NCPDP |
Post Comment/ Review Below
Could you provide the complete physical address where 579Th Medical Group is located?
The 579Th Medical Group is situated at the following address: 1050 W Perimeter Rd Fb14, Andrews Afb, MD, 207626600.
Could you kindly provide the complete physical address where 579Th Medical Group's facilities are geographically located?
The facilities of 579Th Medical Group are physically situated at the following location: 1050 W Perimeter Rd Fb14, Andrews Afb, MD, 207626600.
On what date did 579Th Medical Group receive its 1013988328 assignment from the Centers for Medicare & Medicaid Services?
The 579Th Medical Group was assigned its 1013988328 on 2006-01-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to 579Th Medical Group most recently updated or refreshed?
The details pertaining to the 579Th Medical Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-24.
As of what date was the information regarding 579Th Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 579Th Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-24.