23 Mdg, NPI 1316907744
Military/U.S. Coast Guard Outpatient Clinic/Center in Moody Afb, GA, 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 1316907744
NPI Entity Type Organization
Provider Name 23 Mdg
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3278 Mitchell Blvd, Moody Afb, GA, US
Provider Mailing Address 3278 Mitchell Blvd, Moody Afb, GA, US, 316991500
Is Sole Proprietor? No
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Organization Official

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

Primary Taxonomy

Taxonomy Code

261QM1100X

Taxonomy Name Military/U.S. Coast Guard Outpatient Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

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.

Other Organization Name

Moody AFB MTF
Other Name

Business Address

23 Mdg
3278 Mitchell Blvd

Moody Afb, GA, US

Phone: 229-257-3041
Fax: 229-257-5528

Mailing Address

23 Mdg
3278 Mitchell Blvd
Moody Afb, GA, US
ZIP 316991500
Phone: 229-257-3041
Fax: 229-257-5528

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QM1101X

Ambulatory Health Care Facilities

Clinic/Center

No

332000000X

Suppliers

Military/U.S. Coast Guard Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1142784 GA NCPDP 01
1689773350 GA ASSOCIATED PHARMACY NPI 01

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NPI Name Taxonomy Address

1386307460

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Organization

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Organization

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Order Medicaid Glasses Online

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LDO Anna Mccaskill

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1710602180

MSHA, BSN, RN, CPN Madlina Jonassaint

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FNP-C Sandra Nicole Mcneal

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Organization

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1801511258

Atlanta Hand Therapy, Llc

Organization

Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

Sandy Springs, GA

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