Fairchid Scm Phcy

LBN: 92Nd Medical Group
Fairchid Scm Phcy is an health care organization with primary practice located at 103 Saatz Rd , Fairchild Afb WA 99011. 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. 92Nd Medical Group can be contacted via phone (509) 247-5567, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
103 Saatz Rd Fairchild Afb WA 99011
Phone: (509) 247-5567
Fax: (509) 247-2021
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

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

Profile Details

NPI number 1205102761
LBN Legal business name 92Nd Medical Group
DBA Doing business as Fairchid Scm Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Jun 12th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205102761 NPPES
Other 2134472 PK

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