USAFA 10TH MEDICAL GROUP/SGSBR


Address: 8118 Park Dr, Usaf Academy, CO 80840-2397
Phone: 7193339801

USAFA 10TH MEDICAL GROUP/SGSBR (NPI# 1982010955) 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) 1982010955
Entity Type Organization
Organization Name USAFA 10TH MEDICAL GROUP/SGSBR
Other Organization Name DOD USAFA COMMUNITY EPHCY
Practice Address 8118 Park Dr
Usaf Academy
CO 80840-2397
Mailing Address Usafa 10th Medical Group/sgsbr
4102 Pinion Dr. Suite 100
Usaf Academy
CO 80840
Practice Telephone 7193339801
Practice Fax Number 7193335694
Mailing Telephone 7193330545
Mailing Fax Number 7193330544
Enumeration Date 2014-07-10
Last Update Date 2016-01-22
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2146772 01

Other Provider/Organization Names

Other Name Type Code
DoD USAFA COMMUNITY ePhcy Doing Business As Name - Organization

Office Location

Street Address 8118 PARK DR
City USAF ACADEMY
State CO
Zip Code 80840-2397

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114554011 Christina Dang Student in an Organized Health Care Education/Training Program 4355-b Faculty Drive, Us Air Force Academy, CO 80840 2020-03-23
1053893123 Glen William Myers Dentist 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 2018-09-05
1225374499 National Vision Optical Technician/Technologist Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 2012-12-17
1366758906 Brett Michael Germain Dentist 2355-b Faculty Dr., Usaf Academy, CO 80840 2010-08-20
1518289115 Renee Jean Cole Military Health Care Provider 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 2010-02-23
1063655140 Gregory S. Brooks Military Health Care Provider 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 2009-04-20
1801092390 Bryant Mcneill Internal Medicine 4102 Pinion 10mdg, Usaf Academy, CO 80840 2007-06-22
1447384383 Francis Crosby Jr. Physician Assistant 4102 Pinon Drive, Usaf Academy, CO 80840 2007-03-15
1023115870 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 2006-09-20
1669582722 Scott Layle Carbaugh Physician Assistant 4102 Pinion Dirve, Usaf Academy, CO 80840 2006-08-30
Find all providers in zip 80840

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy 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.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841397692 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 8119 Park Dr, Usaf Academy, CO 80840-2397 2006-09-20
1023115870 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 2006-09-20
1114024965 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 2355 Faculty Dr Ste 1n207, Usaf Academy, CO 80840-1805 2006-09-20
1639278344 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 4102 Pinion Dr Ste 100, Usaf Academy, CO 80840-2502 2006-09-21
1750488508 10th Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 8119 Park Dr, Usaf Academy, CO 80840-2397 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285012922 21st Medical Group Military/U.S. Coast Guard Pharmacy 220 Falcon Pkwy Bldg 220, Colorado Springs, CO 80912-5005 2015-05-14
1265845036 Military Treatment Facility Military/U.S. Coast Guard Pharmacy 13611 E. Colfax Ave., Buckley Afb, CO 80011-9547 2014-06-09
1861623936 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 3220 Union Blvd, Colorado Springs, CO 80907-4900 2009-08-06
1518173236 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 7490 Sutherland Circle, Robinson Family Medicine Clinic, Fort Carson, CO 80913-4603 2007-05-16
1164512497 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy Evans Ach 7500 Cochrane Circle, Evans Army Community Hospital, Ft Carson, CO 80913-4603 2006-10-16
1679672380 21 Medical Group Military/U.S. Coast Guard Pharmacy 220 Falcon Pkwy, Schriever Afb, CO 80912-5005 2006-09-21
1518066273 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 6351 Wetzel Ave, Bldg 1525, Ft Carson, CO 80913-4188 2006-09-21
1114026820 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 7490 Southerland Circle, Robinson Clinic, Ft Carson, CO 80913 2006-09-21
1043319858 Evans Army Community Hospital Military/U.S. Coast Guard Pharmacy 6911 Titus Blvd Bldg 2353, Ft Carson, CO 80913-4429 2006-09-21
1932206786 460th Medical Logistics Whs Military/U.S. Coast Guard Pharmacy 317 N Telluride St, Bldg 7, Buckley Afb, CO 80011-7809 2006-09-20
Find all providers with the same taxonomy

Competitor

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City USAF ACADEMY
Zip Code 80840

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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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