17Th Medical Group

LBN: 17Th Medical Group
17Th Medical Group is an health care organization with primary practice located at 271 Fort Richardson Ave , Goodfellow Afb TX 76908-4901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. 17Th Medical Group can be contacted via phone (325) 654-5238, or through Forrest, James via phone (325) 654-3075.

Contact Information

Primary practice address
271 Fort Richardson Ave Goodfellow Afb TX 76908-4901
Phone: (325) 654-5238
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forrest, James
Phone: (325) 654-3075

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1235490574
LBN Legal business name 17Th Medical Group
DBA Doing business as
Authorized official Forrest, James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2012
Last updated Jun 4th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers