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30th Medical Group
Military/U.S. Coast Guard Pharmacy in Vandenberg Afb, California
NPI 1477536126

30th Medical Group is a Military/U.S. Coast Guard Pharmacy based in Vandenberg Afb, CA. 30th Medical Group practices in Vandenberg Afb, CA. The NPI Number for 30th Medical Group is 1477536126 and holds a License No. (California).

The current practice location address for 30th Medical Group is 338 S Dakota Ave, Vandenberg Afb, CA and can be reached out via phone at 805-606-3012 and via fax at 805-606-4474. You can also correspond with 30th Medical Group through the mailing address at 338 S DAKOTA AVE, VANDENBERG AFB, CA - 93437-6307 (mailing address contact number: 805-606-3012).

Location: 338 S Dakota Ave, Vandenberg Afb, CA, 93437-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477536126
Provider Name
30th Medical Group
Credential
Provider Entity Type
Organization
Address
338 S Dakota Ave, Vandenberg Afb, CA, 93437-6307
Phone Number
805-606-3012
Fax Number
805-606-4474
Provider Enumeration Date
11/28/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-49759 01 CA NCPDP
institution
Provider Business Practice Location Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-3012
Fax Number
805-606-4474
person
Provider Business Mailing Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-3012
Fax Number
805-606-4474
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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