National Provider Identifier Database

43RD MEDICAL GROUP
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

43RD MEDICAL GROUP
383 MAYNARD ST
43RD MEDICAL GROUP
POPE FIELD, NC28308-2321
Phone: 910-394-2205
Fax: 910-394-2077
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 43RD MEDICAL GROUP

NPI Number 1619957586
Legal business name
LBN
43RD MEDICAL GROUP
Authorized official SERENA HANSKEN - (AIR FORCE UNIFORM BUSINESS OFFICE P)
Entity Organization
Organization subpart No
Enumeration date 01/18/2006
Last updated 11/12/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Other: 34-37313 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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