75th Medical Group Sgsb, NPI 1912971441
Military/U.S. Coast Guard Outpatient Clinic/Center in Hill Afb, UT, 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 1912971441
NPI Entity Type Organization
Provider Name 75th Medical Group Sgsb
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7321 11th St, Bldg 570, Hill Afb, UT, US
Provider Mailing Address 7321 11th St, Bldg 570, Hill Afb, UT, US, 840565012
Is Sole Proprietor? No
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Organization Official

Official Name Theresa Marie Mitchell
Official Position AIR FORCE UNIFORM BUSINESS OFFICE
Phone 703-588-6419

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

Hill AFB MTF
Other Name

Business Address

75th Medical Group Sgsb
7321 11th St
Bldg 570

Hill Afb, UT, US

Phone: 801-586-9548
Fax: 801-777-6919

Mailing Address

75th Medical Group Sgsb
7321 11th St
Bldg 570
Hill Afb, UT, US
ZIP 840565012
Phone: 801-586-9548
Fax: 801-777-6919

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
46-09256 UT NCPDP 01
1134228257 UT NPPES 01

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Alexis Suzanne Goodwin

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