Travis 1St Flr Op Phcy

LBN: 60Th Medical Group Sgsl
Travis 1St Flr Op Phcy is an health care organization with primary practice located at 101 Bodin Cir Rm 1C409 , Travis Afb CA 94535-1809. 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. 60Th Medical Group Sgsl can be contacted via phone (707) 423-7114, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
101 Bodin Cir Rm 1C409 Travis Afb CA 94535-1809
Phone: (707) 423-7114
Fax: (707) 423-7994
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 1528167582
LBN Legal business name 60Th Medical Group Sgsl
DBA Doing business as Travis 1St Flr Op Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 21st, 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 1528167582 NPPES
Other 2115843 PK

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