Hill Afb Mtf
LBN: 75Th Medical Group Sgsb
Hill Afb Mtf is an health care organization with primary practice located at 7321 11Th St Bldg 570, Hill Afb UT 84056-5012. The organization recently has 4 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, Hospitals / Military Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty.
75Th Medical Group Sgsb can be contacted via phone (801) 586-9548, or through Mitchell, Theresa Marie via phone (703) 588-6419.
Contact Information
Primary practice address
7321 11Th St Bldg 570
Hill Afb UT 84056-5012
Phone: (801) 586-9548
Fax: (801) 777-6919
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 | ||
| Hospitals / Military Hospital | 286500000X | Utah | |
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1912971441 |
|---|---|
| LBN Legal business name | 75Th Medical Group Sgsb |
| DBA Doing business as | Hill Afb Mtf |
| Authorized official | Mitchell, Theresa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1912971441 | NPPES |
| Utah | Other | 46-09256 | NCPDP |
| Utah | Other | 1134228257 | NCPDP |
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