1891765046 95TH MEDICAL GROUP SGSR

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

Active

Basic Information

Organization Name
95TH MEDICAL GROUP SGSR
Enumeration Date
January 23, 2006
Last Update
March 10, 2014
Authorized Official
THERESA MARIE MITCHELL
AIR FORCE UBO ANALYST
Phone: (703) 681-7613

Practice Location

Address
30 NIGHTINGALE RD
BLDG 5525
EDWARDS AFB, CA 935240001
Phone
(661) 275-2634
Fax
(661) 277-6645

Mailing Address

Address
30 NIGHTINGALE RD
BLDG 5525
EDWARDS AFB, CA 935240001
Phone
(661) 275-2634
Fax
(661) 277-6645

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
05-40345 01 CA NCPDP

Frequently Asked Questions

What is 95TH MEDICAL GROUP SGSR's NPI number?
95TH MEDICAL GROUP SGSR's NPI number is 1891765046.
Which doctor has NPI number 1891765046?
The doctor with NPI number 1891765046 is 95TH MEDICAL GROUP SGSR.
What is 95TH MEDICAL GROUP SGSR's practice address?
95TH MEDICAL GROUP SGSR's practice address is 30 NIGHTINGALE RD, BLDG 5525, EDWARDS AFB, CA, 935240001.
Which doctor practices at 30 NIGHTINGALE RD, BLDG 5525, EDWARDS AFB, CA, 935240001?
95TH MEDICAL GROUP SGSR practices at 30 NIGHTINGALE RD, BLDG 5525, EDWARDS AFB, CA, 935240001.
What is 95TH MEDICAL GROUP SGSR's phone number?
95TH MEDICAL GROUP SGSR's phone number is (661) 275-2634.
Who is (661) 275-2634?
(661) 275-2634 is the phone number for 95TH MEDICAL GROUP SGSR.
What is 95TH MEDICAL GROUP SGSR's specialty?
95TH MEDICAL GROUP SGSR's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 95TH MEDICAL GROUP SGSR?
95TH MEDICAL GROUP SGSR is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 95TH MEDICAL GROUP SGSR a Military/U.S. Coast Guard Outpatient?
Yes, 95TH MEDICAL GROUP SGSR is a Military/U.S. Coast Guard Outpatient.
Is 95TH MEDICAL GROUP SGSR still practicing?
Yes, 95TH MEDICAL GROUP SGSR is currently practicing.
Is 95TH MEDICAL GROUP SGSR accepting new patients?
95TH MEDICAL GROUP SGSR may be accepting new patients. Please call their office at (661) 275-2634 to inquire about availability.
Is NPI 1891765046 still active?
Yes, NPI 1891765046 is currently active.
Where does 95TH MEDICAL GROUP SGSR practice?
95TH MEDICAL GROUP SGSR practices in EDWARDS AFB, CA.