Mcchord Main Phcy

LBN: 62Nd Med Grp
Mcchord Main Phcy is an health care organization with primary practice located at 690 Barnes Blvd , Mcchord Afb WA 98438-1303. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 62Nd Med Grp can be contacted via phone (253) 982-2474, or through Morales, Hector via phone (210) 221-8443.

Contact Information

Primary practice address
690 Barnes Blvd Mcchord Afb WA 98438-1303
Phone: (253) 982-2474
Fax: (253) 982-8401
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 221-8443

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1366541401
LBN Legal business name 62Nd Med Grp
DBA Doing business as Mcchord Main Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Sep 1st, 2009 - about 16 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 1366541401 NPPES
Other 4927197 OTHER ID NUMBER-COMMERCIAL NUMBER

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