47Th Medical Group
LBN: 47Th Medical Group
47Th Medical Group is an health care organization with primary practice located at 590 Mitchell Blvd , Laughlin Afb TX 78843-5242. 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.
47Th Medical Group can be contacted via phone (830) 398-6320, or through Mitchell, Theresa Marie via phone (703) 681-7613.
Contact Information
Primary practice address
590 Mitchell Blvd
Laughlin Afb TX 78843-5242
Phone: (830) 398-6320
Fax: (830) 298-6439
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 | 1053399188 |
|---|---|
| LBN Legal business name | 47Th Medical Group |
| DBA Doing business as | |
| Authorized official | Mitchell, Theresa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Mar 3rd, 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 | 1053399188 | NPPES |
| Texas | Other | 4510536 | PHARMACY NABP |
| Texas | Other | 4510536 | PHARMACY NABP |
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