Dod Goodfellow Ephcy

LBN: 17 Medical Group
Dod Goodfellow Ephcy is an health care organization with primary practice located at 271 Fort Richardson Ave , Goodfellow Afb TX 76908-4901. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 17 Medical Group can be contacted via phone (325) 654-3101, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
271 Fort Richardson Ave Goodfellow Afb TX 76908-4901
Phone: (325) 654-3101
Fax: (325) 654-5898
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1346654175
LBN Legal business name 17 Medical Group
DBA Doing business as Dod Goodfellow Ephcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2014
Last updated Jul 1st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346654175 NPPES
Other 2146403 PK

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