MALCOLM GROW MEDICAL CENTER NPI 1508917501

NPI Information

  • NPI: 1508917501
  • Provider Name: MALCOLM GROW MEDICAL CENTER
  • Classification: Military Hospital - 286500000X
  • Entity Type: Organization
  • Address: 1050 W PERIMETER RD
    79MDOS-SGOHY
    ANDREWS AFB, MD
    ZIP 20762
  • Phone: (240) 857-0168

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NPI Details

MALCOLM GROW MEDICAL CENTER is a military hospital in Andrews Afb, MD. The provider is a health care facility operated by the Department of Defense. MALCOLM GROW MEDICAL CENTER NPI is 1508917501. The provider is registered as an organization entity type.

The provider's business location address is:

1050 W PERIMETER RD
79MDOS-SGOHY
ANDREWS AFB, MD
ZIP 20762-601
Phone: (240) 857-0168

The provider's authorized official is Jenna M Ermold .
The authorized official title is Staff Psychologist and has the following contact phone number (240) 857-0168.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

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 Hospital0810003522VIRGINIAYes

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: 3/30/2025

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