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81ST MEDICAL GROUP NPI 1023302957


NPI Information

NPI: 1023302957
Provider Name: 81ST MEDICAL GROUP

Other Name: KEESLER MEDICAL CENTER

Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
301 FISHER ST
81 MDOS SGOF
KEESLER AFB, MS
ZIP 39534
Phone: (228) 376-0440
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81ST MEDICAL GROUP is a military hospital in Keesler Afb, MS. The provider is a health care facility operated by the Department of Defense. 81ST MEDICAL GROUP NPI is 1023302957. The provider is registered as an organization entity type.
The provider Other Name Is Keesler Medical Center.

The provider's business location address is:

301 FISHER ST
81 MDOS SGOF
KEESLER AFB, MS
ZIP 39534-508
Phone: (228) 376-0440

The provider's authorized official is Laramie Jay Richmond .
The authorized official title is Physician Assisstant and has the following contact phone number (228) 376-0440.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.


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
1286500000XMilitary HospitalYes

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

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