628 Medical Group

  • 1114905775 NPI Number
  • |
  • Actived: 18 years ago
  • |
628 Medical Group is a health care provider based in Charleston Afb, SC. The NPI Number is 1114905775 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, 628 Medical Group is an excellent option. We are here to help you get the care you need.

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Overview of 628 Medical Group

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/04/2006
  • Last updated: 01/27/2012

Primary Scrop of Practice

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

Provider Mailing Address

  • Address: 204 W Hill Blvd
    Bldg 364
    Charleston Afb, SC 29404
  • Phone: 843-963-6884
  • Fax: 843-963-6538

Provider Practice Location

  • Address: 204 W Hill Blvd
    Bldg 364
    Charleston Afb, SC 29404
  • Phone: 843-963-6884
  • Fax: 843-963-6538

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:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 42-22181
  • Identifier Type: Other
  • Identifier State: SC
  • 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 628 Medical Group?
  • A: The npi number for 628 Medical Group is 1114905775.
  • Q: What are 628 Medical Group's specialties?
  • A: 628 Medical Group's specialties are Military/U.S. Coast Guard Pharmacy and different specialities.
  • Q: Where is 628 Medical Group business practice location?
  • A: 628 Medical Group business practice location is 204 W Hill Blvd, Charleston Afb, SC 29404.
  • Q: How to contact 628 Medical Group?
  • A: You can contact 628 Medical Group via 843-963-6884.
  • Q: What is the authorized official for 628 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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