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 | Specialty Code | Provider Type | |
Military and U.S. Coast Guard Ambulatory Procedure |
261QM1101X | |||
Military/U.S. Coast Guard Outpatient |
261QM1100X | |||
Military/U.S. Coast Guard Pharmacy |
332000000X | 87 | All Other Suppliers |
| NPI # | 1164507703 |
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| LBN Legal business name | FT MEADE MEDDAC | ||||||||||||
| Authorized official | TERRI KIMBROW - (UBO MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 10/25/2006 | ||||||||||||
| Last updated | 05/21/2025 - More than a year ago | ||||||||||||
| Identifiers |
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