62D Medical Group Usaf

LBN: 62D Medical Group Usaf
62D Medical Group Usaf is an health care organization with primary practice located at 690 A St , Mcchord Afb WA 98438-1303. 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. 62D Medical Group Usaf can be contacted via phone (253) 982-5586, or through Hansken, Serena Lynn via phone (703) 588-6419.

Contact Information

Primary practice address
690 A St Mcchord Afb WA 98438-1303
Phone: (253) 982-5586
Fax: (253) 982-5978
Website:
Map and Directions
Authorized official contact:
Name: Hansken, Serena Lynn
Phone: (703) 588-6419

Health care specialties

SpecialtyCodeLicense #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 1043270549
LBN Legal business name 62D Medical Group Usaf
DBA Doing business as
Authorized official Hansken, Serena Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 12th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043270549 NPPES
Washington Other 49-27197 NCPDP

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