<Unavail>

LBN: 27Th Special Ops Medgrp-Cannon
<Unavail> is an health care organization with primary practice located at 224 West D. L. Ingram Blvd Bldg 1408, Cannon Afb NM 88103-5103. 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. 27Th Special Ops Medgrp-Cannon can be contacted via phone (575) 784-4912, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
224 West D. L. Ingram Blvd Bldg 1408 Cannon Afb NM 88103-5103
Fax: (575) 784-7494
Website:
Authorized official contact:
Name: Morales, Hector

Health care specialties

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

Profile Details

NPI number 1417356072
LBN Legal business name 27Th Special Ops Medgrp-Cannon
DBA Doing business as <Unavail>
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2014
Last updated Sep 2nd, 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 1417356072 NPPES
Other 2147336 PK

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