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KIMBROUGH ACC MILITARY MTF NPI 1689888455


NPI Information

NPI: 1689888455
Provider Name: KIMBROUGH ACC MILITARY MTF

Doing Business As: AHC MCNAIR-MYER-HENDERSON HALL

Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
103 3RD AVE
BUILDING 58
WASHINGTON, DC
ZIP 20319
Phone: (301) 677-8800
Get Directions

KIMBROUGH ACC MILITARY MTF is a military/u.s. coast guard outpatient clinic center in Washington, DC. The provider is 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. KIMBROUGH ACC MILITARY MTF NPI is 1689888455. The provider is registered as an organization entity type.
The provider Is Doing Business As Ahc Mcnair-myer-henderson Hall.

The provider's business location address is:

103 3RD AVE
BUILDING 58
WASHINGTON, DC
ZIP 20319-058
Phone: (301) 677-8800

The provider's authorized official is Terri Kimbrow .
The authorized official title is Ubo Manager and has the following contact phone number (301) 677-8512.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyNo
2261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VAD000MEDICARE UPIN
2AN2598588OTHERMEDCO
3OTH000MEDICARE UPIN
41164507703OTHERPARENT FACILITY NPI 2 EFF 1 OCT 10

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.