<Unavail>
LBN: 96Th Medgrp-Eglin
<Unavail> is an health care organization with primary practice located at 307 Boatner Rd Suite 114, Eglin Afb FL 32542-1302. 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 General Acute Care Hospital, Suppliers / Military/U.S. Coast Guard Pharmacy. Hospitals / Military General Acute Care Hospital is the primary health care specialty.
96Th Medgrp-Eglin can be contacted via phone (850) 883-9015, or through Lewandowski, Jen via phone (703) 817-4030.
Contact Information
Primary practice address
307 Boatner Rd Suite 114
Eglin Afb FL 32542-1302
Phone: (850) 883-9015
Fax: (850) 883-8659
Website:
Health care specialties
| Specialty | Code | License # | 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 General Acute Care Hospital | 2865M2000X | ||
| Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
| NPI number | 1588647770 |
|---|---|
| LBN Legal business name | 96Th Medgrp-Eglin |
| DBA Doing business as | <Unavail> |
| Authorized official | Lewandowski, Jen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jun 16th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588647770 | NPPES |
| Florida | Other | 10-79260 | NCPDP |
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