Dover Afb Mtf

LBN: 436Th Medical Grp
Dover Afb Mtf is an health care organization with primary practice located at 300 Tuskegee Blvd , Dover Afb DE 19902-5003. 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. 436Th Medical Grp can be contacted via phone (302) 677-2649, or through Mitchell, Theresa M. via phone (703) 681-7613.

Contact Information

Primary practice address
300 Tuskegee Blvd Dover Afb DE 19902-5003
Phone: (302) 677-2649
Fax: (302) 677-2051
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Theresa M.
Phone: (703) 681-7613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X Delaware
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X Delaware
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1437112646
LBN Legal business name 436Th Medical Grp
DBA Doing business as Dover Afb Mtf
Authorized official Mitchell, Theresa M.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated May 20th, 2014 - about 12 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 1437112646 NPPES
Delaware Other 08-03735 NCPDP

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