Organization
9TH MEDICAL GROUP
Active
Other names
BEALE MAIN PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-2337
(530) 346-4653
Mailing address
DAVID S GRANT MEDICAL CENTER C/O 60TH MDG, 101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(530) 634-2337
(530) 346-4653
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103361
PK
—
Enumeration date
09/22/2006
Last updated
05/27/2015
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