1023091642 28TH MEDGRP-ELLSWORTH
Military/U.S. Coast Guard Outpatient Clinic/Center
Active
Basic Information
- Organization Name
- 28TH MEDGRP-ELLSWORTH
- Enumeration Date
- November 29, 2005
- Last Update
- May 29, 2025
- Authorized Official
- WILLIAM MICHAEL CONDON
DEFENSE HEALTH AGENCY (DHA) FINANCI
Phone: (240) 401-3643
Practice Location
- Address
- 2900 DOOLITTLE DR
ELLSWORTH AFB, SD 577064821 - Phone
- (605) 385-3311
- Fax
- (605) 385-3234
Mailing Address
- Address
- 2900 DOOLITTLE DR
ELLSWORTH AFB, SD 577064821 - Phone
- (605) 385-3311
- Fax
- (605) 385-3234
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | Clinic/Center | N/A | N/A | No |
| Military/U.S. Coast Guard Pharmacy | 332000000X | Military/U.S. Coast Guard Pharmacy | N/A | N/A | No |
| Military/U.S. Coast Guard Outpatient Clinic/Center Military/U.S. Coast Guard Outpatient | 261QM1100X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5351000 | 05 | SD | N/A |
| 4304969 | 01 | SD | NCPDP |
Frequently Asked Questions
What is 28TH MEDGRP-ELLSWORTH's NPI number?
28TH MEDGRP-ELLSWORTH's NPI number is 1023091642.
Which doctor has NPI number 1023091642?
The doctor with NPI number 1023091642 is 28TH MEDGRP-ELLSWORTH.
What is 28TH MEDGRP-ELLSWORTH's practice address?
28TH MEDGRP-ELLSWORTH's practice address is 2900 DOOLITTLE DR, ELLSWORTH AFB, SD, 577064821.
Which doctor practices at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD, 577064821?
28TH MEDGRP-ELLSWORTH practices at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD, 577064821.
What is 28TH MEDGRP-ELLSWORTH's phone number?
28TH MEDGRP-ELLSWORTH's phone number is (605) 385-3311.
Who is (605) 385-3311?
(605) 385-3311 is the phone number for 28TH MEDGRP-ELLSWORTH.
What is 28TH MEDGRP-ELLSWORTH's specialty?
28TH MEDGRP-ELLSWORTH's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 28TH MEDGRP-ELLSWORTH?
28TH MEDGRP-ELLSWORTH is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 28TH MEDGRP-ELLSWORTH a Military/U.S. Coast Guard Outpatient?
Yes, 28TH MEDGRP-ELLSWORTH is a Military/U.S. Coast Guard Outpatient.
Is 28TH MEDGRP-ELLSWORTH still practicing?
Yes, 28TH MEDGRP-ELLSWORTH is currently practicing.
Is 28TH MEDGRP-ELLSWORTH accepting new patients?
28TH MEDGRP-ELLSWORTH may be accepting new patients. Please call their office at (605) 385-3311 to inquire about availability.
Is NPI 1023091642 still active?
Yes, NPI 1023091642 is currently active.
Where does 28TH MEDGRP-ELLSWORTH practice?
28TH MEDGRP-ELLSWORTH practices in ELLSWORTH AFB, SD.