17Th Medical Group in Goodfellow Afb - Military/u.s. Coast Guard Pharmacy
17Th Medical Group - NPI 1184723215
17Th Medical Group is a Military/u.s. Coast Guard Pharmacy in Goodfellow Afb, Texas. 17Th Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 17Th Medical Group is 1184723215. The last update date is 2015-06-16.
17Th Medical Group's current location address is 271 Fort Richardson Ave, Goodfellow Afb, Texas. You can contact this provider via phone number 3256543101. The mailing address for 17Th Medical Group is 271 Fort Richardson Ave, Goodfellow Afb, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 17Th Medical Group |
|---|---|
| Address | 271 Fort Richardson Ave, Goodfellow Afb, Texas |
| Phone Number | 3256543101 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1184723215 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2015-06-16 |
Provider Mailing Address Detail
| Address | 271 Fort Richardson Ave |
|---|---|
| City | Goodfellow Afb |
| State | Texas (TX) |
| Post Code | 769084901 |
| Phone Number | 3256543101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Pharmacy |
|---|---|
| Taxonomy | 332000000X |
| Licence No | 42892 |
|
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 |
|---|---|---|---|
| 2105566 | PK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 17Th Medical Group by the Centers for Medicare & Medicaid Services?
The 17Th Medical Group has been issued the NPI (National Provider Identifier) 1184723215, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where 17Th Medical Group is geographically located?
The 17Th Medical Group is physically situated at the following location: 271 Fort Richardson Ave, Goodfellow Afb, TX, 769084901.
What is 17Th Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 17Th Medical Group is Military/u.s. Coast Guard Pharmacy, and the corresponding taxonomy classification code for this specialized field is 332000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184723215 to 17Th Medical Group?
The 17Th Medical Group received its 1184723215 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the details pertaining to 17Th Medical Group last refreshed?
The information related to the 17Th Medical Group, including its address, specialty, and other relevant details, was last updated on 2015-06-16.
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