Organization · Type 2 NPI

Ustranscom-Sg/gpmrc

Military or U.S. Coast Guard Air Transport Ambulance · Scott Afb, IL

NPI number 1194042705 Active

Practice location

203 W. Losey Street, Ste 1700, Ustranscom-Sg
Scott Afb, IL 62225-5357

Fax (618) 229-0119

Specialties and licenses

TaxonomyCodeLicense
Military or U.S. Coast Guard Air Transport Ambulance Primary 3418M1120XNone listed

Military or U.S. Coast Guard Air Transport Ambulance: Vehicle and staff for patient emergency or non-emergency air transport.

About NPI 1194042705

Ustranscom-Sg/gpmrc's National Provider Identifier is 1194042705, issued on Apr 23, 2010. The primary taxonomy on file is Military or U.S. Coast Guard Air Transport Ambulance (3418M1120X), and the practice location is in Scott Afb, IL. The record was last updated on Jan 25, 2011.