Organization · Type 2 NPI
22d Medgrp-McConnell
Military/U.S. Coast Guard Outpatient Clinic/Center · Mcconnell Afb, KS
Practice location
57950 Leavenworth St 6E4
Mcconnell Afb, KS 67221-3506
Fax (316) 759-5038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None listed |
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | None listed |
| Military/U.S. Coast Guard Pharmacy | 332000000X | None listed |
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…
About NPI 1700846813
22d Medgrp-McConnell's National Provider Identifier is 1700846813, issued on Mar 23, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Mcconnell Afb, KS. The record was last updated on Jun 17, 2025.