Organization · Type 2 NPI

78 MDG Robins Afb, Ga

Military/U.S. Coast Guard Outpatient Clinic/Center · Robins Afb, GA

NPI number 1215907563 Active

Practice location

655 7th St, 78 Mdg/sghc
Robins Afb, GA 31098-2227

Mailing address

217 Fairways Dr
Warner Robins, GA 31088-7542

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XGA31383 (GA)

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1215907563

78 MDG Robins Afb, Ga's National Provider Identifier is 1215907563, issued on Jan 26, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Robins Afb, GA. The record was last updated on Jun 13, 2008.