509TH MEDICAL GROUP-SGSR is a military/u.s. coast guard outpatient clinic center in Whiteman Afb, MO. The provider 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. 509TH MEDICAL GROUP-SGSR NPI is 1033196480. The provider is registered as an organization entity type.
The provider Other Name Is Whiteman Afb Mtf.
The provider's business location address is:
331 SIJAN AVE
509 MDSS SGSR
WHITEMAN AFB, MO
ZIP 65305-269
Phone: (660) 687-1838
Fax: (660) 687-5121
The provider's authorized official is Theresa Marie Mitchell .
The authorized official title is Air Force Ubo Analyst and has the following contact phone number (703) 681-7613.
The enumeration date for this NPI number is 12/28/2005 and was last updated on 2/28/2014.