27Th Medical Group

LBN: 27Th Medical Group
27Th Medical Group is an health care organization with primary practice located at 208 W Casablanca Ave 27 Mdss Sgsr, Cannon Afb NM 88103-5009. 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. 27Th Medical Group can be contacted via phone (505) 784-4023, or through Hansken, Serena Lynn via phone (703) 588-6419.

Contact Information

Primary practice address
208 W Casablanca Ave 27 Mdss Sgsr Cannon Afb NM 88103-5009
Phone: (505) 784-4023
Fax: (505) 784-7749
Website:
Map and Directions
Authorized official contact:
Name: Hansken, Serena Lynn
Phone: (703) 588-6419

Health care specialties

SpecialtyCodeLicense #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 1285606384
LBN Legal business name 27Th Medical Group
DBA Doing business as
Authorized official Hansken, Serena Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 15th, 2010 - about 16 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 1285606384 NPPES
New Mexico Other 3210185 NCPDP

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