<Unavail>

LBN: 316Th Medgrp-Malcolm Grow
<Unavail> is an health care organization with primary practice located at 238 Brookley Ave Sw 579Th Medical Group, Bolling Afb DC 20032-7704. 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. 316Th Medgrp-Malcolm Grow can be contacted via phone (202) 404-7742, or through Condon, William Michael via phone (240) 401-3643.

Contact Information

Primary practice address
238 Brookley Ave Sw 579Th Medical Group Bolling Afb DC 20032-7704
Phone: (202) 404-7742
Fax: (202) 404-1216
Website:
Map and Directions
Authorized official contact:
Name: Condon, William Michael
Phone: (240) 401-3643

Health care specialties

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

Profile Details

NPI number 1861804551
LBN Legal business name 316Th Medgrp-Malcolm Grow
DBA Doing business as <Unavail>
Authorized official Condon, William Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2014
Last updated Mar 12th, 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 1861804551 NPPES
Other 2145981 PK

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