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28th Medical Group
Military/U.S. Coast Guard Pharmacy in Ellsworth Afb, South Dakota
NPI 1023091642

28th Medical Group is a Military/U.S. Coast Guard Pharmacy based in Ellsworth Afb, SD. 28th Medical Group practices in Ellsworth Afb, SD. The NPI Number for 28th Medical Group is 1023091642 and holds a License No. (South Dakota).

The current practice location address for 28th Medical Group is 2900 Doolittle Dr, Ellsworth Afb, SD and can be reached out via phone at 605-385-3311 and via fax at 605-385-3234.

Location: 2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023091642
Provider Name
28th Medical Group
Credential
Provider Entity Type
Organization
Address
2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
Phone Number
605-385-3311
Fax Number
605-385-3234
Provider Enumeration Date
11/29/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5351000 05 SD
4304969 01 SD NCPDP
institution
Provider Business Practice Location Address Details
Address
2900 Doolittle Dr
City
Ellsworth Afb
State
South Dakota
Zip
57706-4821
Phone Number
605-385-3311
Fax Number
605-385-3234
person
Provider Business Mailing Address Details
Address
2900 Doolittle Dr
City
Ellsworth Afb
State
South Dakota
Zip
57706-4821
Phone Number
605-385-3311
Fax Number
605-385-3234
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
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 and U.S. Coast Guard Ambulatory Procedure
Taxonomy
261QM1101X
License No.
()
Definition
That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. 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
332000000X
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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