52ND MEDICAL GROUP SGSL (NPI# 1083783294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083783294 |
Entity Type | Organization |
Organization Name | 52ND MEDICAL GROUP SGSL |
Other Organization Name | SPANGDAHLEM SDL PHCY |
Practice Address |
52nd Med Group C Sgsap Bldg 137 Germany Apo AE 09126 |
Practice Telephone | 2105366650 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2016-11-02 |
Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
Authorized Official Telephone | 2105366650 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2113893 | 01 |
Other Name | Type Code |
---|---|
SPANGDAHLEM SDL PHCY | Doing Business As Name - Organization |
Street Address |
52ND MED GROUP C SGSAP BLDG 137 GERMANY |
City | APO |
State | AE |
Zip Code | 09126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
1225326200 | Rachel K Langley | Family Medicine | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2011-07-12 |
1548593932 | Morgan Bergman | Counselor | 52 Mdos/sgow, Unit 3690, Apo, AE 09126 | 2009-09-16 |
1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
1649404906 | Matthew James Warters | Military Health Care Provider | 52 Amds Sgpf, Spangdahlem Air Base, RHEINLAND PFALZ 09126 | 2009-05-14 |
1619141686 | Donna Marie Burrowes | Counselor | 52 Mdg Unit 3690, Apo, AE 09126 | 2008-04-21 |
1962619296 | Katie M Ragan | Psychologist | 52 Mdos/sgot, Unit 3690, Apo, AE 09126 | 2007-05-17 |
1043426463 | Sylvia Jean Ringen | Social Worker | Psc 9 Unit 3690, 52 Mdos/sgohf, Apo, AE 09126 | 2007-05-15 |
1225189319 | Andrea L Loudermilk-shull | Speech-Language Pathologist | 52 Mdos/sgov, Unit 3690, Apo, AE 09126 | 2007-01-15 |
1013083005 | David Max Jones | Dentist | 52 Ds/cc, Unit 3866, Apo, AE 09126 | 2006-11-28 |
Find all providers in zip 09126 |
Taxonomy Code | 332000000X |
Grouping | Suppliers |
Classification | Military/U.S. Coast Guard Pharmacy |
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. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265756316 | 86th Mdss Sgsap | Military/U.S. Coast Guard Pharmacy | Bldg 2114 86th Mdss Sgsap Unit 3215, Apo, AE 09094-3214 | 2010-03-18 |
1013163088 | Bagram Btif | Military/U.S. Coast Guard Pharmacy | 724th Mp Bn/tf Bulldog, Disney Drive Bldg 365, Apo, AE 09354 | 2008-08-11 |
1043385891 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Unit 21420 Box 3530, Apo, AE 09705 | 2006-11-21 |
1376617506 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Attn Pad, Apo, AE 09042 | 2006-11-20 |
1972672004 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 406, Apo, AE 09110 | 2006-11-06 |
1417036633 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | Cmr 418, Apo, AE 09058 | 2006-11-06 |
1316016496 | 31st Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 121, Aviano Ab Italy, Apo, AE 09604-0245 | 2006-11-06 |
1376612499 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 263, Apo, AP 96260-0275 | 2006-11-06 |
1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
1659440725 | U.S. Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 405, Avenue C, Apo, AP 96264 | 2006-11-06 |
Find all providers in APO |
Please comment or provide details below to improve the information on 52ND MEDICAL GROUP SGSL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.