Hill Afb Mtf

LBN: 75Th Medical Group Sgsb
Hill Afb Mtf is an health care organization with primary practice located at 7321 11Th St Bldg 570, Hill Afb UT 84056-5012. The organization recently has 4 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, Hospitals / Military Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty. 75Th Medical Group Sgsb can be contacted via phone (801) 586-9548, or through Mitchell, Theresa Marie via phone (703) 588-6419.

Contact Information

Primary practice address
7321 11Th St Bldg 570 Hill Afb UT 84056-5012
Phone: (801) 586-9548
Fax: (801) 777-6919
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Theresa Marie
Phone: (703) 588-6419

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Hospitals / Military Hospital 286500000X Utah
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1912971441
LBN Legal business name 75Th Medical Group Sgsb
DBA Doing business as Hill Afb Mtf
Authorized official Mitchell, Theresa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 21st, 2022 - about 4 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 1912971441 NPPES
Utah Other 46-09256 NCPDP
Utah Other 1134228257 NCPDP

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