That part of a ?fixed? (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial ?take home? pharmaceuticals.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X |
| Military/U.S. Coast Guard Outpatient | 261QM1100X | |
| Military/U.S. Coast Guard Pharmacy | 332000000X |
* Indicates primary specialty
| NPI Number | 1063487791 |
| Legal business name LBN |
366TH MEDGRP-MOUNTAIN HOME |
| Authorized official | JEN LEWANDOWSKI - (DHA UBO) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 02/17/2006 |
| Last updated | 06/17/2025 - About 12 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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