96Th Medical Group in Eglin Afb - Military General Acute Care Hospital

96Th Medical Group - NPI 1588647770

96Th Medical Group is a Military General Acute Care Hospital in Eglin Afb, Florida. 96Th Medical Group practices all healthcare services and medical treatments related to Military General Acute Care Hospital. The NPI Number for 96Th Medical Group is 1588647770. The last update date is 2014-02-18.

96Th Medical Group's current location address is 307 Boatner Rd, Eglin Afb, Florida. You can contact this provider via phone number 8508839015 and fax number 8508838659. The mailing address for 96Th Medical Group is 307 Boatner Rd, Eglin Afb, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization 96Th Medical Group
Address 307 Boatner Rd, Eglin Afb, Florida
Phone Number 8508839015
Fax Number 8508838659
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AIR FORCE
Authorized Official Name Mitchell Marie Theresa
Telephone Number 7036817613

NPI Number Detail

NPI Number 1588647770
Provider Enumeration Date 2005-11-22
Last Updated Date 2014-02-18

Provider Mailing Address Detail

Address 307 Boatner Rd
City Eglin Afb
State Florida (FL)
Post Code 325421302
Phone Number 8508839015
Fax Number 8508838659

Provider's Primary Taxonomy Detail

Speciality Military General Acute Care Hospital
Taxonomy 2865M2000X
Definition:
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deploy

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10-79260 FL NCPDP

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FAQs about 96Th Medical Group

What is the unique 10-digit identifier code issued to 96Th Medical Group by the Centers for Medicare & Medicaid Services?

The 96Th Medical Group has been assigned the NPI (National Provider Identifier) 1588647770 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where 96Th Medical Group is physically located?

The 96Th Medical Group is physically situated at the following address: 307 Boatner Rd, Eglin Afb, FL, 325421302.

What is 96Th Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for 96Th Medical Group is Military General Acute Care Hospital, and the taxonomy code that categorizes this field of expertise is 2865M2000X.

When did 96Th Medical Group receive its 1588647770 assignment?

The 96Th Medical Group was assigned its 1588647770 on 2005-11-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to 96Th Medical Group last refreshed?

The information related to the 96Th Medical Group, including its address, specialty, and other relevant details, was last updated on 2014-02-18.

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