31ST MEDICAL GROUP SGSL (NPI# 1316016496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316016496 |
Entity Type | Organization |
Organization Name | 31ST MEDICAL GROUP SGSL |
Other Organization Name | AVIANO MAIN PHCY |
Practice Address |
Bldg 121 Aviano Ab Italy Apo AE 09604-0245 |
Practice Telephone | 2105366650 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2016-01-26 |
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 | 2113916 | 01 |
Other Name | Type Code |
---|---|
AVIANO MAIN PHCY | Doing Business As Name - Organization |
Street Address |
BLDG 121 AVIANO AB ITALY |
City | APO |
State | AE |
Zip Code | 09604-0245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801933015 | Dawna Louise Giem | Military Health Care Provider | 31 Mdg Unit 6180, Box 245, Apo, AE 09604 | 2007-01-30 |
1679673032 | Cherie-anne Mauntel | Pharmacist | 31 Medical Group, Unit 6180, Box 245, Apo, AE 09604 | 2006-09-25 |
1487643532 | Nicole Ann Richardson | Occupational Therapist | Unit 6180 Box 245, Apo, AE 09604 | 2005-10-20 |
1588652945 | Georgina Gould | Social Worker | Aviano Hs, Unit 6219, Box 180, Aviano, ITALY 09604 | 2005-10-11 |
1306070891 | Deana M Howell | Emergency Medical Technician, Basic | 31 Medical Group, Unit 6180 Box 245, Apo, AE 09604 | 2009-05-12 |
1780823393 | Denise Mccarty | Physician Assistant | Unit 6180, Box 245, Apo, AE 09604 | 2009-02-05 |
1821076738 | Roy Joseph Dileo | Emergency Medicine | Unit 6180 Box 245, Apo, AE 09604 | 2006-01-03 |
1538141320 | Gordon Charles Peters | Preventive Medicine | Unit 6180 Box 245, Apo, AE 09604 | 2005-11-17 |
1336138551 | Travis Robert Adams | Psychologist | Unit 6180 Box 245, Apo, AE 09604 | 2005-10-20 |
1841558137 | 31st Medical Group | Military Hospital | Building 121 Aviano Afb Italy, Apo, AE 09604-0245 | 2012-04-25 |
Find all providers in zip 09604 |
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 |
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 |
1881763902 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 807, Apo, AP 96224-0351 | 2006-11-06 |
Find all providers in APO |
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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.