Patrick Afb Mtf
LBN: 45Th Medical Group
Patrick Afb Mtf is an health care organization with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. 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.
45Th Medical Group can be contacted via phone (321) 494-8457, or through Mitchell, Theresa Marie via phone (703) 681-7613.
Contact Information
Primary practice address
1381 S Patrick Dr
Patrick Afb FL 32925-3606
Phone: (321) 494-8457
Fax: (321) 494-7821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
| Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1518941921 |
|---|---|
| LBN Legal business name | 45Th Medical Group |
| DBA Doing business as | Patrick Afb Mtf |
| Authorized official | Mitchell, Theresa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518941921 | NPPES |
| Florida | Other | 10-80465 | NCPDP |
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