Tyndall Main Provider Phcy

LBN: 325Th Medical Group Sgsl
Tyndall Main Provider Phcy is an health care organization with primary practice located at 340 Magnolia Cir , Tyndall Afb FL 32403-5604. 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. 325Th Medical Group Sgsl can be contacted via phone (850) 283-7050, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
340 Magnolia Cir Tyndall Afb FL 32403-5604
Phone: (850) 283-7050
Fax: (850) 283-7061
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 1386708030
LBN Legal business name 325Th Medical Group Sgsl
DBA Doing business as Tyndall Main Provider Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 26th, 2016 - about 10 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 1386708030 NPPES
Other 2014088 PK

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