Organization · Type 2 NPI
49th Medgrp-Holloman
Military/U.S. Coast Guard Outpatient Clinic/Center · Holloman Afb, NM
Practice location
280 1st St, Sgsr
Holloman Afb, NM 88330-8273
Fax (505) 572-0549
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…
22 other providers at this address
- Angela Lea Barney, PA-CMedical Physician Assistant Holloman Afb, NM NPI 1790746287
- Anne Christine Rivera, RDRegistered Dietitian Holloman Afb, NM NPI 1003265299
- Chelsea Kahle Hanna, DOEmergency Medicine Physician Holloman Afb, NM NPI 1891156709
- Christopher John Butler, MDGeneral Practice Physician Holloman Afb, NM NPI 1588980262
- Dana Michele Adams, WHNPWomen's Health Nurse Practitioner Holloman Air Force Base, NM NPI 1912090275
- Danielle Moore, OPADental Assistant Holloman Afb, NM NPI 1629682034
- Derandoria Ann Young, MSWClinical Social Worker Holloman Afb, NM NPI 1376896183
- Ericka Renee Smith, DA 3160Dental Assistant Holloman Afb, NM NPI 1639783053
- Frank Joseph Emmert, DDSDentist Holloman Afb, NM NPI 1063785830
- Gretta Carroll, MDFamily Medicine Physician Holloman Afb, NM NPI 1619358900
- Jacob P. Sanders, ARNP/DNPAdult Health Nurse Practitioner Holloman Afb, NM NPI 1821414517
- Jana Joel McBurney, NP-CFamily Nurse Practitioner Holloman Afb, NM NPI 1508100207
About NPI 1952374910
49th Medgrp-Holloman's National Provider Identifier is 1952374910, issued on Feb 9, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Holloman Afb, NM. The record was last updated on Jul 3, 2025.