316TH MEDICAL GROUP - MALCOLM GROW MEDICAL CENTER is a military and u.s. coast guard ambulatory procedure clinic center in Jb Andrews, MD. The provider is that part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. 316TH MEDICAL GROUP - MALCOLM GROW MEDICAL CENTER NPI is 1215994660. The provider is registered as an organization entity type.
The provider Other Name Is 779th Medical Group.
The provider's business location address is:
1060 W PERIMETER RD
JB ANDREWS, MD
ZIP 20762-602
Phone: (240) 857-8658
Fax: (240) 857-7700
The provider's authorized official is William Michael Condon .
The authorized official title is Dha Financial Manager and has the following contact phone number (240) 401-3643.
The enumeration date for this NPI number is 4/28/2006 and was last updated on 4/10/2024.