17th Medical Group

  • 1104805142 NPI Number
  • |
  • Actived: 18 years ago
  • |
17th Medical Group is a health care provider based in Goodfellow Afb, TX. The NPI Number is 1104805142 and it has been active since 18 years ago. The specialty is Military/U.S. Coast Guard Pharmacy, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Military/U.S. Coast Guard Pharmacy services, 17th Medical Group is an excellent option. We are here to help you get the care you need.

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Overview of 17th Medical Group

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/10/2006
  • Last updated: 11/15/2010

Primary Scrop of Practice

  • Taxonomy Code: 332000000X
  • Specialty: Military/U.S. Coast Guard Pharmacy
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 271 Fort Richardson Ave
    Goodfellow Afb, TX 76908
  • Phone: 325-654-5974
  • Fax: 325-654-3121

Provider Practice Location

  • Address: 271 Fort Richardson Ave
    Goodfellow Afb, TX 76908
  • Phone: 325-654-5974
  • Fax: 325-654-3121

Authorized Official

  • Name: Serena Lynn Hansken
  • Position/Title: Air Force Uniform Business Office
  • Telephone Number: 703-588-6419

Scope of Practice

  • Taxonomy Code: 261QM1100X
  • Specialty: Military/U.S. Coast Guard Outpatient
  • License Number:
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 4596740
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: NCPDP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for 17th Medical Group?
  • A: The npi number for 17th Medical Group is 1104805142.
  • Q: What are 17th Medical Group's specialties?
  • A: 17th Medical Group's specialties are Military/U.S. Coast Guard Pharmacy and different specialities.
  • Q: Where is 17th Medical Group business practice location?
  • A: 17th Medical Group business practice location is 271 Fort Richardson Ave, Goodfellow Afb, TX 76908.
  • Q: How to contact 17th Medical Group?
  • A: You can contact 17th Medical Group via 325-654-5974.
  • Q: What is the authorized official for 17th Medical Group?
  • A: The authorized office name is Serena Lynn Hansken with position/title is Air Force Uniform Business Office and you can reach the authorized official via phone number 7035886419.
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