Mcconnell Afb Mtf
LBN: 22 Medical Group
Mcconnell Afb Mtf is an health care organization with primary practice located at 57950 Leavenworth St 6E4 , Mcconnell Afb KS 67221-3506. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty.
22 Medical Group can be contacted via phone (316) 759-5000, or through Mitchell, Theresa Marie via phone (703) 681-7613.
Contact Information
Primary practice address
57950 Leavenworth St 6E4
Mcconnell Afb KS 67221-3506
Phone: (316) 759-5000
Fax: (316) 759-5038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
| Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1700846813 |
|---|---|
| LBN Legal business name | 22 Medical Group |
| DBA Doing business as | Mcconnell Afb Mtf |
| Authorized official | Mitchell, Theresa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 18th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700846813 | NPPES |
| Kansas | Other | 17-17517 | NCPDP |
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