39Th Medical Group

LBN: 39Th Medical Group
39Th Medical Group is an health care organization with primary practice located at Unit 7095 Box 185 , Apo AE 09824-7095. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Military Outpatient Operational (Transportable) Component, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. 39Th Medical Group can be contacted via phone 011903223168794, or through Mitchell, Theresa Marie via phone (703) 681-7613.

Contact Information

Primary practice address
Unit 7095 Box 185 Apo AE 09824-7095
Phone: 011903223168794
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Theresa Marie
Phone: (703) 681-7613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Military Outpatient Operational (Transportable) Component 261QM1102X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1992061790
LBN Legal business name 39Th Medical Group
DBA Doing business as
Authorized official Mitchell, Theresa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2012
Last updated Mar 27th, 2014 - about 10 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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