49TH MEDICAL GROUP is a military/u.s. coast guard outpatient clinic center in Holloman Afb, NM. 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. 49TH MEDICAL GROUP NPI is 1952374910. The provider is registered as an organization entity type.
The provider Other Name Is Holloman Afb Mtf.
The provider's business location address is:
280 1ST ST
SGSR
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (505) 572-5744
Fax: (505) 572-0549
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 2/9/2006 and was last updated on 2/27/2014.