<Unavail>

LBN: 21St Medgrp-Peterson
<Unavail> is an health care organization with primary practice located at 220 Falcon Pkwy , Schriever Afb CO 80912-5005. 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. 21St Medgrp-Peterson can be contacted via phone (719) 567-4423, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
220 Falcon Pkwy Schriever Afb CO 80912-5005
Phone: (719) 567-4423
Fax: (719) 567-4817
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 1487069621
LBN Legal business name 21St Medgrp-Peterson
DBA Doing business as <Unavail>
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 26th, 2014
Last updated Jun 13th, 2025 - about last year

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 1487069621 NPPES
Other 2146548 PK

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