National Provider Identifier Database

FT MEADE MEDDAC
Military and U.S. Coast Guard Ambulatory Procedure

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.


Contact Information

FT MEADE MEDDAC
2480 LLEWELLYN AVE
FORT MEADE, MD20755-5800
Phone: 301-677-8800
Fax:
Website:
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 Profile & details for FT MEADE MEDDAC

NPI Number 1164507703
Legal business name
LBN
FT MEADE MEDDAC
Authorized official TERRI KIMBROW - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 10/25/2006
Last updated 05/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 02DT BCBS FEDERAL
  • Other: AN2598588 MEDCO
  • Other: 1447357298 / 2125284 PHARMACY NPI/NCPDP

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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