17th Medical Group

Military/U.S. Coast Guard Outpatient


  
  271 Fort Richardson Ave, Goodfellow Afb
Texas, 76908-4901

 325-654-5974    325-654-3121
17th Medical Group is a Military/U.S. Coast Guard Outpatient in Goodfellow Afb, Texas. It is located at 271 Fort Richardson Ave, Goodfellow Afb and it's customer support contact number is 325-654-5974. The authorized person of 17th Medical Group is Serena Lynn Hansken who is Air Force Uniform Business Office of the pharmacy and his contact number is 703-588-6419.
17th Medical Group is 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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Pharmacy Details:
17th Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: 17th Medical Group
Type: Military/U.S. Coast Guard Outpatient
Location:271 Fort Richardson Ave, Goodfellow Afb,
Texas, 76908-4901
Phone:325-654-5974
Fax:325-654-3121
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Serena Lynn Hansken
Position: Air Force Uniform Business Office
Contact Number: 703-588-6419
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1104805142
NPI Enumeration Date: 10 Jan, 2006
NPI Last Update On: 15 Nov, 2010

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 17th Medical Group are as mentioned below.
SpecializationLicense NumberStateStatus
Military/U.S. Coast Guard Outpatient TexasPrimary
Military and U.S. Coast Guard Ambulatory Procedure Secondary
Military/u.s. Coast Guard Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
4596740OtherTexasNcpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 271 Fort Richardson Ave,
Goodfellow Afb, Texas
Zip: 76908-4901
Phone Number: 325-654-5974
Fax Number: 325-654-3121
Patients can reach 17th Medical Group at 271 Fort Richardson Ave, Goodfellow Afb, Texas or can call on customer care at 325-654-5974.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 12 February, 2020.


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