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96th Medical Group
Military/U.S. Coast Guard Pharmacy in Eglin Afb, Florida
NPI 1588647770

96th Medical Group is a Military/U.S. Coast Guard Pharmacy based in Eglin Afb, FL. 96th Medical Group practices in Eglin Afb, FL. The NPI Number for 96th Medical Group is 1588647770 and holds a License No. (Florida).

The current practice location address for 96th Medical Group is 307 Boatner Rd, Eglin Afb, FL and can be reached out via phone at 850-883-9015 and via fax at 850-883-8659. You can also correspond with 96th Medical Group through the mailing address at 307 BOATNER RD, EGLIN AFB, FL - 32542-1302 (mailing address contact number: 850-883-9015).

Location: 307 Boatner Rd, Eglin Afb, FL, 32542-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588647770
Provider Name
96th Medical Group
Credential
Provider Entity Type
Organization
Address
307 Boatner Rd, Eglin Afb, FL, 32542-1302
Phone Number
850-883-9015
Fax Number
850-883-8659
Provider Enumeration Date
11/22/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
10-79260 01 FL NCPDP
institution
Provider Business Practice Location Address Details
Address
307 Boatner Rd
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-9015
Fax Number
850-883-8659
person
Provider Business Mailing Address Details
Address
307 Boatner Rd
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-9015
Fax Number
850-883-8659
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
Hospitals
Classification
Military Hospital
Speciality
Military General Acute Care Hospital
Taxonomy
2865M2000X
License No.
()
Definition
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items.
person
Provider's Taxonomy Details 4
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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