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MILITARY TREATMENT FACILITY NPI 1174507420


NPI Information

NPI: 1174507420
Provider Name: MILITARY TREATMENT FACILITY

Doing Business As: 460TH MEDICAL GROUP

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
275 S ASPEN ST STOP 89
AURORA, CO
ZIP 80011
Phone: (720) 277-9493
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MILITARY TREATMENT FACILITY is a clinic center in Aurora, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MILITARY TREATMENT FACILITY NPI is 1174507420. The provider is registered as an organization entity type.
The provider Is Doing Business As 460th Medical Group.

The provider's business location address is:

275 S ASPEN ST STOP 89
AURORA, CO
ZIP 80011-562
Phone: (720) 277-9493

The provider's authorized official is Pamela Renee Parks .
The authorized official title is Director, Qm/rm/msm and has the following contact phone number (720) 277-9493.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 12/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientNo
2261QM1101XClinic/CenterMilitary and U.S. Coast Guard Ambulatory ProcedureNo
3332000000XMilitary/U.S. Coast Guard PharmacyNo
4261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11932206786OTHERCOLORADONPPES
206-16790OTHERCOLORADONCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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