436TH MEDGRP-DOVER

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.

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Contact Information

436TH MEDGRP-DOVER

300 TUSKEGEE BLVD
DOVER AFB, DE 19902-5003

Phone: 302-677-2649
Fax: 302-677-2051
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Military/U.S. Coast Guard Outpatient	261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X
Military/U.S. Coast Guard Pharmacy	332000000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for 436TH MEDGRP-DOVER

NPI # 1437112646

LBN Legal business name 436TH MEDGRP-DOVER

Authorized official JEN LEWANDOWSKI - (AIR FORCE UBO ANALYST)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/10/2006

Last updated 06/16/2025 - About 12 months ago

Identifiers

Other

08-03735

NCPDP

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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