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75th Medical Group Sgsb
Military/U.S. Coast Guard Pharmacy in Hill Afb, Utah
NPI 1912971441

75th Medical Group Sgsb is a Military/U.S. Coast Guard Pharmacy based in Hill Afb, UT. 75th Medical Group Sgsb practices in Hill Afb, UT. The NPI Number for 75th Medical Group Sgsb is 1912971441 and holds a License No. (Utah).

The current practice location address for 75th Medical Group Sgsb is 7321 11Th St, Hill Afb, UT and can be reached out via phone at 801-586-9548 and via fax at 801-777-6919.

Location: 7321 11Th St, Hill Afb, UT, 84056-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912971441
Provider Name
75th Medical Group Sgsb
Credential
Provider Entity Type
Organization
Address
7321 11Th St, Hill Afb, UT, 84056-5012
Phone Number
801-586-9548
Fax Number
801-777-6919
Provider Enumeration Date
02/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46-09256 01 UT NCPDP
1134228257 01 UT NPPES
institution
Provider Business Practice Location Address Details
Address
7321 11Th St
City
Hill Afb
State
Utah
Zip
84056-5012
Phone Number
801-586-9548
Fax Number
801-777-6919
person
Provider Business Mailing Address Details
Address
7321 11Th St
City
Hill Afb
State
Utah
Zip
84056-5012
Phone Number
801-586-9548
Fax Number
801-777-6919
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.
(Utah)
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
-
Taxonomy
286500000X
License No.
()
Definition
A health care facility operated by the Department of Defense.
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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