Organization
347TH MEDICAL GROUP SGSL
Active
Other names
MOODY PHCY 23RD MDG
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3221
(229) 257-2345
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3221
(229) 257-2345
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019332
PK
—
Enumeration date
09/21/2006
Last updated
02/08/2016
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