National Provider Identifier Database

62D MEDICAL GROUP USAF
Military/U.S. Coast Guard Outpatient

The Defense Health Program or U.S. Coast Guard funded ?fixed? facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A ?fixed? facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

62D MEDICAL GROUP USAF
690 A ST
MCCHORD AFB, WA98438-1303
Phone: 253-982-5586
Fax: 253-982-5978
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Pharmacy 332000000X

* Indicates primary specialty

NPI Profile & details for 62D MEDICAL GROUP USAF

NPI Number 1043270549
Legal business name
LBN
62D MEDICAL GROUP USAF
Authorized official SERENA HANSKEN - (AIR FORCE UNIFORM BUSINESS OFFICE)
Entity Organization
Organization subpart No
Enumeration date 03/27/2006
Last updated 11/12/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Other: 49-27197 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.

Reviews for 62D MEDICAL GROUP USAF

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