4Th Medical Group

LBN: 4Th Medical Group
4Th Medical Group is an health care organization with primary practice located at 2803 Medical Campus Drive , Seymour Johnson Afb NC 27531-2310. 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. 4Th Medical Group can be contacted via phone (919) 722-8257, or through Lighthill, Tiffany via phone (919) 722-8257.

Contact Information

Primary practice address
2803 Medical Campus Drive Seymour Johnson Afb NC 27531-2310
Phone: (919) 722-8257
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lighthill, Tiffany
Phone: (919) 722-8257

Health care specialties

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

Profile Details

NPI number 1831173558
LBN Legal business name 4Th Medical Group
DBA Doing business as
Authorized official Lighthill, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 25th, 2023 - about 3 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 1831173558 NPPES
North Carolina Other 3429405 NCPDP

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