673RD MEDICAL GROUP SGSR NPI 1568446524

NPI Information

NPI: 1568446524
Provider Name: 673RD MEDICAL GROUP SGSR

Other Name: JOINT BASE ELMENDORF RICHARDSON MTF

Classification: Military Hospital - 286500000X
Entity Type: Organization
Address:
5955 ZEAMER AVE
ELMENDORF AFB, AK
ZIP 99506
Phone: (907) 580-3006
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673RD MEDICAL GROUP SGSR is a military hospital in Elmendorf Afb, AK. The provider is a health care facility operated by the Department of Defense. 673RD MEDICAL GROUP SGSR NPI is 1568446524. The provider is registered as an organization entity type.
The provider Other Name Is Joint Base Elmendorf Richardson Mtf.

The provider's business location address is:

5955 ZEAMER AVE
ELMENDORF AFB, AK
ZIP 99506-702
Phone: (907) 580-3006

The provider's authorized official is Theresa Marie Mitchell .
The authorized official title is Air Force Ubo Analyst and has the following contact phone number (703) 681-7613.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 3/7/2014.

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	Primary
1	332000000X	Military/U.S. Coast Guard Pharmacy		No
2	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	No
3	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
4	286500000X	Military Hospital		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02-02402	OTHER	ALASKA	NCPDP

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: 4/28/2024

NPI Synchronization or Removal

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