National Provider Identifier Database

96TH MEDGRP EGLIN
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

96TH MEDGRP-EGLIN
307 BOATNER RD
SUITE 114
EGLIN AFB, FL32542-1302
Phone: 850-883-9015
Fax: 850-883-8659
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X
Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Military/U.S. Coast Guard Outpatient 261QM1100X
Military/U.S. Coast Guard Pharmacy 332000000X

* Indicates primary specialty

NPI Profile & details for 96TH MEDGRP-EGLIN

NPI Number 1588647770
Legal business name
LBN
96TH MEDGRP-EGLIN
Authorized official JEN LEWANDOWSKI - (AIR FORCE UNIFORM BUSINESS OFFICE)
Entity Organization
Organization subpart Yes
Enumeration date 11/22/2005
Last updated 06/16/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: 10-79260 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 96TH MEDGRP-EGLIN

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