Malcolm Grow Medical Center, NPI 1215994660
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Andrews Afb, MD, US

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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 1215994660
NPI Entity Type Organization
Provider Name Malcolm Grow Medical Center
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1050 W Perimeter Rd, Mdss Sgsr, Andrews Afb, MD, US
Provider Mailing Address 1050 W Perimeter Rd, Mdss Sgsr, Andrews Afb, MD, US, 207626600
Is Sole Proprietor? No
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Organization Official

Official Name Theresa M. Mitchell
Official Position AIR FORCE UBO ANALYST
Phone 703-681-7613

Primary Taxonomy

Taxonomy Code

261QM1101X

Taxonomy Name Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.

Other Organization Name

779th Medical Group
Other Name

Business Address

Malcolm Grow Medical Center
1050 W Perimeter Rd
Mdss Sgsr

Andrews Afb, MD, US

Phone: 240-857-8658
Fax: 240-857-7700

Mailing Address

Malcolm Grow Medical Center
1050 W Perimeter Rd
Mdss Sgsr
Andrews Afb, MD, US
ZIP 207626600
Phone: 240-857-8658
Fax: 240-857-7700

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QM1100X

Ambulatory Health Care Facilities

Clinic/Center

No

332000000X

Suppliers

Military/U.S. Coast Guard Pharmacy

No

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