Dod Travis Ephcy

LBN: David S Grant Medical Center
Dod Travis Ephcy is an health care organization with primary practice located at 461 Skymaster Cir Rm 149 , Travis Afb CA 94535-1909. 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. David S Grant Medical Center can be contacted via phone (707) 423-5345, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
461 Skymaster Cir Rm 149 Travis Afb CA 94535-1909
Phone: (707) 423-5345
Fax: (707) 423-5346
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 1043622681
LBN Legal business name David S Grant Medical Center
DBA Doing business as Dod Travis Ephcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Jan 21st, 2016 - about 8 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 1043622681 NPPES
Other 2146026 PK

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