628TH Medgrp-Charleston

Organization Active
NPI 1114905775
Military/U.S. Coast Guard Outpatient Clinic/Center Charleston Afb, SC

628TH Medgrp-Charleston holds NPI 1114905775, with a primary taxonomy of military/u.s. coast guard outpatient clinic/center and a practice location in Charleston Afb, SC. The number was issued on January 4, 2006 and the NPPES record was last updated on June 17, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100X Not listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X Not listed
Military/U.S. Coast Guard Pharmacy 332000000X Not listed

Practice location

204 W Hill Blvd
Bldg 364
Charleston Afb, SC 29404-4704
Phone: (843) 963-6884

Local context

Active NPPES records list 2 providers with military/u.s. coast guard outpatient clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 16 in South Carolina and 683 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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