96TH MDG EGLIN AFB – NPI #1518973908
Military Hospital

A health care facility operated by the Department of Defense.

96TH MDG EGLIN AFB is a military hospital located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1518973908 to 96TH MDG EGLIN AFB on July 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 286500000X from the Health Care Provider Taxonomy code set, which is classified as Military Hospital.

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 96TH MDG EGLIN AFB below.

NPI Profile for
96TH MDG EGLIN AFB

NPI Number
1518973908
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
96TH MDG EGLIN AFB
Primary location
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone: (850) 862-1111 Fax:
Mailing address
895 SANTA ROSA BLVD APT 312
FORT WALTON BEACH, FL 32548-1907
Phone: Fax:
Organization Subpart
No
Authorized Official
ERIC HOLT
STAFF ANESTHESIOLOGIST
Phone: (617) 840-8249
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
286500000X
- Military Hospital (Primary)
IN 02002895A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.