| Hickam Afb 15th Mdg | |
|
755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 | |
| (808) 448-6133 | |
| Not Available |
| Full Name | Hickam Afb 15th Mdg |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 755 Scott Cir, Hickam Afb, Hawaii |
| Authorized Official Name and Position | Mercedes Hamilton (REFERRAL MANAGER) |
| Authorized Official Contact | 8084486133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickam Afb 15th Mdg 755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 Ph: (808) 448-6133 | Hickam Afb 15th Mdg 755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 Ph: (808) 448-6133 |
| NPI Number | 1952582009 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952582009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14816 (Hawaii) | Primary |