KEESLER MEDICAL CENTER 81MDSS SGSR NPI 1710967526

NPI Information

NPI: 1710967526
Provider Name: KEESLER MEDICAL CENTER 81MDSS SGSR
Classification: Military Hospital - 286500000X
Entity Type: Organization
Address: 301 FISHER ST
STE 101 RM 1A132
KEESLER AFB, MS
ZIP 39534
Phone: (228) 377-4526

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NPI Details

KEESLER MEDICAL CENTER 81MDSS SGSR is a military hospital in Keesler Afb, MS. The provider is a health care facility operated by the Department of Defense. KEESLER MEDICAL CENTER 81MDSS SGSR NPI is 1710967526. The provider is registered as an organization entity type.

The provider's business location address is:

301 FISHER ST
STE 101 RM 1A132
KEESLER AFB, MS
ZIP 39534-508
Phone: (228) 377-4526
Fax: (228) 377-4559

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 1/18/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332000000X	Military/U.S. Coast Guard Pharmacy		No
2	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
3	261QM1101X	Clinic/Center	Military and U.S. Coast Guard Ambulatory Procedure	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	2518338	OTHER	MISSISSIPPI	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: 3/30/2025

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