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Contact Information

KIMBROUGH ACC MILITARY MTF
1999 FISHER AVE
FORT INDIANTOWN GAP
ANNVILLE, PA17003
 Phone: 717-245-4018
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for KIMBROUGH ACC MILITARY MTF

NPI Number 1417163114
LBN Legal business name KIMBROUGH ACC MILITARY MTF
Authorized official TERRI KIMBROW - (UBO MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/16/2007
Last updated 04/01/2015 - About 11 years ago
Identifiers
Other 1164507703 PARENT FACILITY NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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