Andrews Main Phcy

LBN: 316Th Medical Group - Malcolm Grow Medical Center
Andrews Main Phcy is an health care organization with primary practice located at 1050 W Perimeter Rd , Jb Andrews MD 20762-6601. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 316Th Medical Group - Malcolm Grow Medical Center can be contacted via phone (240) 857-4565, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
1050 W Perimeter Rd Jb Andrews MD 20762-6601
Phone: (240) 857-4565
Fax:
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

Profile Details

NPI number 1093814402
LBN Legal business name 316Th Medical Group - Malcolm Grow Medical Center
DBA Doing business as Andrews Main Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Apr 10th, 2024 - about last year

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 1093814402 NPPES
Other 2037184 PK

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