375Th Medical Group in Scott Afb - Military/u.s. Coast Guard Pharmacy
375Th Medical Group - NPI 1417056037
375Th Medical Group is a Military/u.s. Coast Guard Pharmacy in Scott Afb, Illinois. 375Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 375Th Medical Group is 1417056037. The last update date is 2016-02-08.
375Th Medical Group's current location address is 310 W Losey St, Scott Afb, Illinois. You can contact this provider via phone number 6182567345 and fax number 6182567131. The mailing address for 375Th Medical Group is 310 W Losey St, Scott Afb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 375Th Medical Group |
|---|---|
| Address | 310 W Losey St, Scott Afb, Illinois |
| Phone Number | 6182567345 |
| Fax Number | 6182567131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1417056037 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2016-02-08 |
Provider Mailing Address Detail
| Address | 310 W Losey St |
|---|---|
| City | Scott Afb |
| State | Illinois (IL) |
| Post Code | 622255250 |
| Phone Number | 6182567345 |
| Fax Number | 6182567131 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Pharmacy |
|---|---|
| Taxonomy | 332000000X |
|
Definition: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Co |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2024966 | PK |
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What is the unique 10-digit identifier code issued to 375Th Medical Group by the Centers for Medicare & Medicaid Services?
The 375Th Medical Group has been assigned the NPI (National Provider Identifier) 1417056037 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the 375Th Medical Group located?
The 375Th Medical Group is located at 310 W Losey St, Scott Afb, IL 622255250.
What is 375Th 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 375Th Medical Group is Military/u.s. Coast Guard Pharmacy, and the taxonomy code that classifies this field of practice is 332000000X.
On what date did 375Th Medical Group receive its 1417056037 assignment from the Centers for Medicare & Medicaid Services?
The 375Th Medical Group was assigned its 1417056037 on 2006-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to 375Th Medical Group last refreshed?
The information related to the 375Th Medical Group, including its address, specialty, and other relevant details, was last updated on 2016-02-08.