Ustranscom-Sg/gpmrc

NPI #1194042705 in Scott Afb, Illinois

Provider Information

NPI Number: 1194042705
Entity Type: Organization
Organization Name: Ustranscom-Sg/gpmrc
Primary Specialty: Military/U.S. Coast Guard Transport - Military or U.S. Coast Guard Ambulance, Air Transport
Enumeration Date: Apr 23, 2010
Last Updated: Jan 25, 2011

Practice Location

Address: 203 W. LOSEY STREET, STE 1700
Address 2: USTRANSCOM-SG
City: Scott Afb
State: Illinois
ZIP Code: 62225-5357
Phone: (618) 229-5369

Authorized Official

Name: MR. MICHAEL STEELE
Title: CHIEF, THIRD PARTY COLLECTIONS
Phone: (618) 229-5369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military/U.S. Coast Guard Transport - Military or U.S. Coast Guard Ambulance, Air Transport — Military or U.S. Coast Guard Ambulance, Air Transport	3418M1120X	Primary

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