Jb Mcguire-Dix-Lakehurst Mtf
LBN: 87 Medical Group
Jb Mcguire-Dix-Lakehurst Mtf is an health care organization with primary practice located at 3458 Neely Rd Mdss Sgsbr, Mc Guire Afb NJ 08641-5312. 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.
87 Medical Group can be contacted via phone (609) 754-9658, or through Mitchell, Theresa Marie via phone (703) 681-7613.
Contact Information
Primary practice address
3458 Neely Rd Mdss Sgsbr
Mc Guire Afb NJ 08641-5312
Phone: (609) 754-9658
Fax: (609) 754-9541
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 | 1881650141 |
|---|---|
| LBN Legal business name | 87 Medical Group |
| DBA Doing business as | Jb Mcguire-Dix-Lakehurst Mtf |
| Authorized official | Mitchell, Theresa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| 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 | 1881650141 | NPPES |
| New Jersey | Other | 31-41847 | NCPDP |
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