Scott Hosp Phcy

LBN: 375Th Medical Group
Scott Hosp Phcy is an health care organization with primary practice located at 310 W Losey St Bldg 1530, Scott Afb IL 62225-5250. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. 375Th Medical Group can be contacted via phone (618) 256-7345, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
310 W Losey St Bldg 1530 Scott Afb IL 62225-5250
Phone: (618) 256-7345
Fax: (618) 256-7131
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
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1073675955
LBN Legal business name 375Th Medical Group
DBA Doing business as Scott Hosp Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073675955 NPPES
Other 2024967 PK

Popular Providers