17th Medical Group, NPI 1104805142
Military/U.S. Coast Guard Outpatient Clinic/Center in Goodfellow Afb, TX, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104805142 |
| NPI Entity Type | Organization |
| Provider Name | 17th Medical Group |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 271 Fort Richardson Ave, Goodfellow Afb, TX, US |
| Provider Mailing Address | 271 Fort Richardson Ave, Goodfellow Afb, TX, US, 769084901 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Serena Lynn Hansken |
| Official Position | AIR FORCE UNIFORM BUSINESS OFFICE |
| Phone | 703-588-6419 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center |
| Classification | |
| Group | |
| License State | TX |
| Description | The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
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