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4th Medical Group
Military/U.S. Coast Guard Pharmacy in Seymour Johnson Afb, North Carolina
NPI 1831173558

4th Medical Group is a Military/U.S. Coast Guard Pharmacy based in Seymour Johnson Afb, NC. 4th Medical Group practices in Seymour Johnson Afb, NC. The NPI Number for 4th Medical Group is 1831173558 and holds a License No. (North Carolina).

The current practice location address for 4th Medical Group is 2803 Medical Campus Drive, Seymour Johnson Afb, NC and can be reached out via phone at 919-722-8257.

Location: 2803 Medical Campus Drive, Seymour Johnson Afb, NC, 27531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831173558
Provider Name
4th Medical Group
Credential
Provider Entity Type
Organization
Address
2803 Medical Campus Drive, Seymour Johnson Afb, NC, 27531
Phone Number
919-722-8257
Fax Number
Provider Enumeration Date
12/06/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3429405 01 NC NCPDP
institution
Provider Business Practice Location Address Details
Address
2803 Medical Campus Drive
City
Seymour Johnson Afb
State
North Carolina
Zip
27531-2310
Phone Number
919-722-8257
Fax Number
person
Provider Business Mailing Address Details
Address
2803 Medical Campus Drive
City
Seymour Johnson Afb
State
North Carolina
Zip
27531-2310
Phone Number
919-722-8257
Fax Number
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.
(North Carolina)
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.
(North Carolina)
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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