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.

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Contact Information

96TH MEDGRP-EGLIN

307 BOATNER RD
SUITE 114
EGLIN AFB, FL 32542-1302

Phone: 850-883-9015
Fax: 850-883-8659
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
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	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for 96TH MEDGRP-EGLIN

NPI # 1588647770

LBN Legal business name 96TH MEDGRP-EGLIN

Authorized official JEN LEWANDOWSKI - (AIR FORCE UNIFORM BUSINESS OFFICE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/22/2005

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

Identifiers

Other

10-79260

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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