1114905775 628TH MEDGRP-CHARLESTON
Military/U.S. Coast Guard Outpatient Clinic/Center
Active
Basic Information
- Organization Name
- 628TH MEDGRP-CHARLESTON
- Enumeration Date
- January 4, 2006
- Last Update
- May 30, 2025
- Authorized Official
- SERENA LYNN HANSKEN
AIR FORCE UNIFORM BUSINESS OFFICE
Phone: (703) 588-6419
Practice Location
- Address
- 204 W HILL BLVD
BLDG 364
CHARLESTON AFB, SC 294044704 - Phone
- (843) 963-6884
- Fax
- (843) 963-6538
Mailing Address
- Address
- 204 W HILL BLVD
BLDG 364
CHARLESTON AFB, SC 294044704 - Phone
- (843) 963-6884
- Fax
- (843) 963-6538
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 |
|---|---|---|---|
| 42-22181 | 01 | SC | NCPDP |
Frequently Asked Questions
What is 628TH MEDGRP-CHARLESTON's NPI number?
628TH MEDGRP-CHARLESTON's NPI number is 1114905775.
Which doctor has NPI number 1114905775?
The doctor with NPI number 1114905775 is 628TH MEDGRP-CHARLESTON.
What is 628TH MEDGRP-CHARLESTON's practice address?
628TH MEDGRP-CHARLESTON's practice address is 204 W HILL BLVD, BLDG 364, CHARLESTON AFB, SC, 294044704.
Which doctor practices at 204 W HILL BLVD, BLDG 364, CHARLESTON AFB, SC, 294044704?
628TH MEDGRP-CHARLESTON practices at 204 W HILL BLVD, BLDG 364, CHARLESTON AFB, SC, 294044704.
What is 628TH MEDGRP-CHARLESTON's phone number?
628TH MEDGRP-CHARLESTON's phone number is (843) 963-6884.
Who is (843) 963-6884?
(843) 963-6884 is the phone number for 628TH MEDGRP-CHARLESTON.
What is 628TH MEDGRP-CHARLESTON's specialty?
628TH MEDGRP-CHARLESTON's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 628TH MEDGRP-CHARLESTON?
628TH MEDGRP-CHARLESTON is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 628TH MEDGRP-CHARLESTON a Military/U.S. Coast Guard Outpatient?
Yes, 628TH MEDGRP-CHARLESTON is a Military/U.S. Coast Guard Outpatient.
Is 628TH MEDGRP-CHARLESTON still practicing?
Yes, 628TH MEDGRP-CHARLESTON is currently practicing.
Is 628TH MEDGRP-CHARLESTON accepting new patients?
628TH MEDGRP-CHARLESTON may be accepting new patients. Please call their office at (843) 963-6884 to inquire about availability.
Is NPI 1114905775 still active?
Yes, NPI 1114905775 is currently active.
Where does 628TH MEDGRP-CHARLESTON practice?
628TH MEDGRP-CHARLESTON practices in CHARLESTON AFB, SC.