460Th Medical Group

LBN: Military Treatment Facility
460Th Medical Group is an health care organization with primary practice located at 275 S Aspen St Stop 89 , Aurora CO 80011-9562. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, 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 / Clinic/Center is the primary health care specialty. Military Treatment Facility can be contacted via phone (720) 277-9493, or through Parks, Pamela Renee via phone (720) 277-9493.

Contact Information

Primary practice address
275 S Aspen St Stop 89 Aurora CO 80011-9562
Phone: (720) 277-9493
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parks, Pamela Renee
Phone: (720) 277-9493

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1174507420
LBN Legal business name Military Treatment Facility
DBA Doing business as 460Th Medical Group
Authorized official Parks, Pamela Renee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 14th, 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 1174507420 NPPES
Colorado Other 1932206786 NPPES
Colorado Other 06-16790 NPPES

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