| NPI | 1588647770 |
|---|---|
| Other Name | 96TH MEDICAL SUPPORT SQUADRON OR 96 MDSS SGSR |
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE MITCHELL Air Force Uniform Business Office 703-681-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Additional Taxonomies | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure | |
| 332000000X MilitaryU.S. Coast Guard Pharmacy | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2014-02-18 |