QUINCY G. HALL


Address: Eglin Air Force Base, 728th Acs, Apo, AP 32542
Phone: 2508831221

QUINCY G. HALL (NPI# 1770718587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770718587
Entity Type Individual
Full Name QUINCY G. HALL
Credential IDMT
Practice Address Eglin Air Force Base
728th Acs
Apo
AP 32542
Mailing Address 772 Shadt St.
Fort Walton Beach
FL 32547
Practice Telephone 2508831221
Mailing Telephone 8508831221
Enumeration Date 2009-05-22
Last Update Date 2009-05-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
1710I1003X TX Other Service Providers

Office Location

Street Address EGLIN AIR FORCE BASE
728TH ACS
City APO
State AP
Zip Code 32542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417440306 Colt Sicher Student in an Organized Health Care Education/Training Program 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 2018-06-14
1841679529 Matthew Scurria Dentist 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 2015-05-27
1134518798 96th Medical Support Squadron Military/U.S. Coast Guard Pharmacy 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 2015-01-20
1598177123 96th Medical Support Squadron Military/U.S. Coast Guard Pharmacy 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 2014-06-02
1548602923 Gerald Jordan Novack Psychologist 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 2013-07-25
1699112821 Taylor Anne Hahn Obstetrics & Gynecology 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 2013-05-29
1730456948 Nicholas Brandon Sager Dentist 340 Boatner Rd, Eglin Afb, Apo, AA 32542 2011-11-17
1134402662 Jessamy Jae Thornton Student in an Organized Health Care Education/Training Program 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 2011-09-21
1346523974 Mary Elizabeth Sorrentino Dentist 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 2011-09-20
1588945612 Martin Army Community Hospital Clinic/Center 4327 North El Salvador Way, Eglin Afb, FL 32542 2011-09-02
Find all providers in zip 32542

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174166656 Samuel Mow Military Health Care Provider Landshul Regional Medical Center, Apo, AE 09180 2019-10-28
1881245967 Grant M Golombeski Military Health Care Provider 300 S Twinning Dr., Apo, AA 36112 2019-09-20
1346711579 Jimbell Gray Military Health Care Provider Building #932, Apo, AE 09464 2018-12-16
1942784442 Christopher Allen Foster Military Health Care Provider 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 2018-09-20
1497294359 Ryan Springer Military Health Care Provider Psc 41 Box 2116, Apo, AE 09464-0022 2017-02-13
1205387081 Joshua Gratz Military Health Care Provider 48mdh/sghc Unit 5115, Apo, AE 09461 2016-10-17
1316322506 Andrew Bowers Military Health Care Provider Psc 2, Box 8707, Apo, AE 09012 2015-07-29
1689060311 Kody Whiteside Military Health Care Provider 99 Friendship Bldv, Apo, AP 96319-0061 2015-04-09
1912392333 Jennifer Chilson Military Health Care Provider Bldg 3531 Unit 5247 B 10, Apo, AP 96368 2015-04-02
1720409675 Emily Porter Military Health Care Provider Psc 17 Box 66, Apo, AE 09214-0001 2013-12-19
Find all providers in APO

Competitor

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City APO
Zip Code 32542

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Dataset Information

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.

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