Peterson Afb Refill Processing Ctr

LBN: 21 Medical Group
Peterson Afb Refill Processing Ctr is an health care organization with primary practice located at 8119 Park Dr , Usaf Academy CO 80840-2397. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. 21 Medical Group can be contacted via phone (719) 333-0545, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
8119 Park Dr Usaf Academy CO 80840-2397
Phone: (719) 333-0545
Fax: (719) 333-0544
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1669579413
LBN Legal business name 21 Medical Group
DBA Doing business as Peterson Afb Refill Processing Ctr
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 13th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669579413 NPPES
Other 2003675 PK

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