Dover Afb Mtf
LBN: 436Th Medical Grp
Dover Afb Mtf is an health care organization with primary practice located at 300 Tuskegee Blvd , Dover Afb DE 19902-5003. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty.
436Th Medical Grp can be contacted via phone (302) 677-2649, or through Mitchell, Theresa M. via phone (703) 681-7613.
Contact Information
Primary practice address
300 Tuskegee Blvd
Dover Afb DE 19902-5003
Phone: (302) 677-2649
Fax: (302) 677-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | Delaware | |
| Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | Delaware | |
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1437112646 |
|---|---|
| LBN Legal business name | 436Th Medical Grp |
| DBA Doing business as | Dover Afb Mtf |
| Authorized official | Mitchell, Theresa M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | May 20th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437112646 | NPPES |
| Delaware | Other | 08-03735 | NCPDP |
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