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9TH MEDICAL GROUP NPI 1184695991


NPI Information

NPI: 1184695991
Provider Name: 9TH MEDICAL GROUP
Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
15301 WARREN SHINGLE RD
BLDG 5706
BEALE AFB, CA
ZIP 95903
Phone: (530) 634-4866
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9TH MEDICAL GROUP is a military/u.s. coast guard outpatient clinic center in Beale Afb, CA. 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. 9TH MEDICAL GROUP NPI is 1184695991. The provider is registered as an organization entity type.

The provider's business location address is:

15301 WARREN SHINGLE RD
BLDG 5706
BEALE AFB, CA
ZIP 95903-907
Phone: (530) 634-4866
Fax: (530) 634-4966

The provider's authorized official is Serena Lynn Hansken .
The authorized official title is Air Force Uniform Business Office and has the following contact phone number (703) 588-6419.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 11/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332000000XMilitary/U.S. Coast Guard PharmacyNo
2261QM1101XClinic/CenterMilitary and U.S. Coast Guard Ambulatory ProcedureNo
3261QM1100XClinic/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1546373OTHERCALIFORNIANCPDP

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: 11/14/2023

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