66 Mdss-sgsr, NPI 1508831553
Military/U.S. Coast Guard Outpatient Clinic/Center in Hanscom Afb, MA, 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 1508831553
NPI Entity Type Organization
Provider Name 66 Mdss-sgsr
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA, US
Provider Mailing Address 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA, US, 017312104
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

Hanscom MTF
Other Name

Business Address

66 Mdss-sgsr
90 Vandenberg Dr
Bldg 1900

Hanscom Afb, MA, US

Phone: 781-377-1770
Fax: 781-377-9840

Mailing Address

66 Mdss-sgsr
90 Vandenberg Dr
Bldg 1900
Hanscom Afb, MA, US
ZIP 017312104
Phone: 781-377-1770
Fax: 781-377-9840

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

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NPI Name Taxonomy Address

1528553229

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DR. D.M.D Sarah Bohyun Lee

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Gabriella Guillette

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Kristen Fleck

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Yang Li

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Ellen Beth Wittlin

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1366167728

MISS WHNP Megan Eileen Fickes

Individual

Psychiatric/Mental Health Registered Nurse

10 Carematrix Dr

Dedham, MA

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