Organization
96TH MEDICAL SUPPORT SQUADRON
Active
Other names
EGLIN CALL IN REFILLS PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
307 BOATNER RD STE 114, BLDG 1758, EGLIN AFB, FL 32542-1302
(850) 883-8444
(850) 883-9325
Mailing address
MCDONALD ARMY HEALTH CENTER, ATTN UBO, EGLIN AFB, FL 23604
(850) 883-8444
(850) 883-9325
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013215
PK
—
Enumeration date
09/21/2006
Last updated
06/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us