institution
579th Medical Group
Military/U.S. Coast Guard Pharmacy in Washington, District of Columbia
NPI 1013988328

579th Medical Group is a Military/U.S. Coast Guard Pharmacy based in Andrews Afb, DC. 579th Medical Group practices in Washington, DC. The NPI Number for 579th Medical Group is 1013988328 and holds a License No. (District of Columbia).

The current practice location address for 579th Medical Group is 238 Brookley Ave, Washington, DC and can be reached out via phone at 202-404-3602 and via fax at 202-404-8233. You can also correspond with 579th Medical Group through the mailing address at 1050 W PERIMETER RD FB14, ANDREWS AFB, MD - 20762-6600 (mailing address contact number: 202-404-3602).

Location: 238 Brookley Ave, Washington, DC, 20762-6600
institution
Provider Profile Details
NPI Number
1013988328
Provider Name
579th Medical Group
Credential
Provider Entity Type
Organization
Address
238 Brookley Ave, Washington, DC, 20762-6600
Phone Number
202-404-3602
Fax Number
202-404-8233
Provider Enumeration Date
01/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09-04208 01 DC NCPDP
institution
Provider Business Practice Location Address Details
Address
238 Brookley Ave
City
State
Zip
20032
Phone Number
202-404-3602
Fax Number
202-404-8233
person
Provider Business Mailing Address Details
Address
238 Brookley Ave
City
State
Zip
20032
Phone Number
202-404-3602
Fax Number
202-404-8233
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
License No.
()
Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Ambulatory Procedure Visits Operational (Transportable)
Taxonomy
License No.
()
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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