79Th Medical Group Malcolm Grow Medical Center in Waldorf - Military Hospital
79Th Medical Group Malcolm Grow Medical Center - NPI 1972643401
79Th Medical Group Malcolm Grow Medical Center is a Military Hospital in Waldorf, Maryland. 79Th Medical Group Malcolm Grow Medical Center practices all healthcare services and medical treatments related to Military Hospital. The NPI Number for 79Th Medical Group Malcolm Grow Medical Center is 1972643401. The last update date is 2008-06-13.
79Th Medical Group Malcolm Grow Medical Center's current location address is 11423 Plenty Gates Ct, Waldorf, Maryland. You can contact this provider via phone number 3016453357 and fax number 2408577138. The mailing address for 79Th Medical Group Malcolm Grow Medical Center is 11423 Plenty Gates Ct, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 79Th Medical Group Malcolm Grow Medical Center |
|---|---|
| Address | 11423 Plenty Gates Ct, Waldorf, Maryland |
| Phone Number | 3016453357 |
| Fax Number | 2408577138 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADULT NURS |
|---|---|
| Authorized Official Name | Giscombe Yvette Natalie |
| Credentials | REGISTERED |
| Telephone Number | 2408574951 |
NPI Number Detail
| NPI Number | 1972643401 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 11423 Plenty Gates Ct |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206015601 |
| Phone Number | 3016453357 |
| Fax Number | 2408577138 |
Provider's Primary Taxonomy Detail
| Speciality | Military Hospital |
|---|---|
| Taxonomy | 286500000X |
| Licence No | RN64518 |
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Definition: A health care facility operated by the Department of Defense. |
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What is the unique 10-digit identifier code issued to 79Th Medical Group Malcolm Grow Medical Center by the Centers for Medicare & Medicaid Services?
The 79Th Medical Group Malcolm Grow Medical Center has been assigned the NPI (National Provider Identifier) 1972643401 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the 79Th Medical Group Malcolm Grow Medical Center located?
The 79Th Medical Group Malcolm Grow Medical Center is located at 11423 Plenty Gates Ct, Waldorf, MD 206015601.
What is the 79Th Medical Group Malcolm Grow Medical Center's specialty and taxonomy code?
The 79Th Medical Group Malcolm Grow Medical Center's specialty is Military Hospital, and the corresponding taxonomy code is 286500000X.
On what date was the 1972643401 assigned to 79Th Medical Group Malcolm Grow Medical Center?
The 79Th Medical Group Malcolm Grow Medical Center was issued its 1972643401 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding 79Th Medical Group Malcolm Grow Medical Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to 79Th Medical Group Malcolm Grow Medical Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-13.
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