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A health care facility operated by the Department of Defense.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military Hospital |
286500000X | |||
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 |
| NPI Number | 1568446524 |
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| LBN Legal business name | 673D MEDGRP-JBER ELMNDRF-RICH | ||||
| Authorized official | JEN LEWANDOWSKI - (AIR FORCE UBO ANALYST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/02/2005 | ||||
| Last updated | 06/16/2025 - About 12 months ago | ||||
| Identifiers |
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673D MEDGRP-JBER ELMNDRF-RICH