1104888288 92ND MEDICAL GROUP

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

Active

Basic Information

Organization Name
92ND MEDICAL GROUP
Enumeration Date
April 4, 2006
Last Update
March 10, 2014
Authorized Official
THERESA MARIE MITCHELL
AIR FORCE UBO
Phone: (703) 681-7613

Practice Location

Address
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 990118704
Phone
(509) 247-9264
Fax
(509) 247-3535

Mailing Address

Address
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 990118704
Phone
(509) 247-9264
Fax
(509) 247-3535

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
49-24507 01 WA NCPDP

Frequently Asked Questions

What is 92ND MEDICAL GROUP's NPI number?
92ND MEDICAL GROUP's NPI number is 1104888288.
Which doctor has NPI number 1104888288?
The doctor with NPI number 1104888288 is 92ND MEDICAL GROUP.
What is 92ND MEDICAL GROUP's practice address?
92ND MEDICAL GROUP's practice address is 701 HOSPITAL LOOP, FAIRCHILD AFB, WA, 990118704.
Which doctor practices at 701 HOSPITAL LOOP, FAIRCHILD AFB, WA, 990118704?
92ND MEDICAL GROUP practices at 701 HOSPITAL LOOP, FAIRCHILD AFB, WA, 990118704.
What is 92ND MEDICAL GROUP's phone number?
92ND MEDICAL GROUP's phone number is (509) 247-9264.
Who is (509) 247-9264?
(509) 247-9264 is the phone number for 92ND MEDICAL GROUP.
What is 92ND MEDICAL GROUP's specialty?
92ND MEDICAL GROUP's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 92ND MEDICAL GROUP?
92ND MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 92ND MEDICAL GROUP a Military/U.S. Coast Guard Outpatient?
Yes, 92ND MEDICAL GROUP is a Military/U.S. Coast Guard Outpatient.
Is 92ND MEDICAL GROUP still practicing?
Yes, 92ND MEDICAL GROUP is currently practicing.
Is 92ND MEDICAL GROUP accepting new patients?
92ND MEDICAL GROUP may be accepting new patients. Please call their office at (509) 247-9264 to inquire about availability.
Is NPI 1104888288 still active?
Yes, NPI 1104888288 is currently active.
Where does 92ND MEDICAL GROUP practice?
92ND MEDICAL GROUP practices in FAIRCHILD AFB, WA.