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USAF NPI 1174500961


NPI Information

NPI: 1174500961
Provider Name: USAF
Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
1ST MEDICAL GROUP
45 PINE ROAD
LANGLEY AFB, VA
ZIP 23665
Phone: (757) 764-7611
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USAF is a military hospital in Langley Afb, VA. The provider is a health care facility operated by the Department of Defense. USAF NPI is 1174500961. The provider is registered as an organization entity type.

The provider's business location address is:

1ST MEDICAL GROUP
45 PINE ROAD
LANGLEY AFB, VA
ZIP 23665-080
Phone: (757) 764-7611

The provider's authorized official is Kory Cornum .
The authorized official title is Medical Group Commander and has the following contact phone number (757) 764-6969.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 4/2/2008.


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 Hospital014623MISSOURIYes

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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