1902867229 354TH MEDICAL GROUP

Military/U.S. Coast Guard Outpatient Clinic/Center

Active

Basic Information

Organization Name
354TH MEDICAL GROUP
Enumeration Date
March 28, 2006
Last Update
March 7, 2014
Authorized Official
THERESA MARIE MITCHELL
AIR FORCE UBO ANALYST
Phone: (703) 681-7613

Practice Location

Address
2630 CENTRAL AVE
SUITE 1M07
EIELSON AFB, AK 997022325
Phone
(907) 377-6579

Mailing Address

Address
2630 CENTRAL AVE
SUITE 1M07
EIELSON AFB, AK 997022325
Phone
(907) 377-6579

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
02-02399 01 AK NCPDP

Frequently Asked Questions

What is 354TH MEDICAL GROUP's NPI number?
354TH MEDICAL GROUP's NPI number is 1902867229.
Which doctor has NPI number 1902867229?
The doctor with NPI number 1902867229 is 354TH MEDICAL GROUP.
What is 354TH MEDICAL GROUP's practice address?
354TH MEDICAL GROUP's practice address is 2630 CENTRAL AVE, SUITE 1M07, EIELSON AFB, AK, 997022325.
Which doctor practices at 2630 CENTRAL AVE, SUITE 1M07, EIELSON AFB, AK, 997022325?
354TH MEDICAL GROUP practices at 2630 CENTRAL AVE, SUITE 1M07, EIELSON AFB, AK, 997022325.
What is 354TH MEDICAL GROUP's phone number?
354TH MEDICAL GROUP's phone number is (907) 377-6579.
Who is (907) 377-6579?
(907) 377-6579 is the phone number for 354TH MEDICAL GROUP.
What is 354TH MEDICAL GROUP's specialty?
354TH MEDICAL GROUP's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 354TH MEDICAL GROUP?
354TH MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 354TH MEDICAL GROUP a Military/U.S. Coast Guard Outpatient?
Yes, 354TH MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient.
Is 354TH MEDICAL GROUP still practicing?
Yes, 354TH MEDICAL GROUP is currently practicing.
Is 354TH MEDICAL GROUP accepting new patients?
354TH MEDICAL GROUP may be accepting new patients. Please call their office at (907) 377-6579 to inquire about availability.
Is NPI 1902867229 still active?
Yes, NPI 1902867229 is currently active.
Where does 354TH MEDICAL GROUP practice?
354TH MEDICAL GROUP practices in EIELSON AFB, AK.