Provider Demographics
NPI:1194042705
Name:USTRANSCOM-SG/GPMRC
Entity Type:Organization
Organization Name:USTRANSCOM-SG/GPMRC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, THIRD PARTY COLLECTIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-229-5369
Mailing Address - Street 1:203 W. LOSEY STREET, STE 1700
Mailing Address - Street 2:USTRANSCOM-SG
Mailing Address - City:SCOTT AFB
Mailing Address - State:IL
Mailing Address - Zip Code:62225-5357
Mailing Address - Country:US
Mailing Address - Phone:618-229-5369
Mailing Address - Fax:618-229-0119
Practice Address - Street 1:203 W. LOSEY STREET, STE 1700
Practice Address - Street 2:USTRANSCOM-SG
Practice Address - City:SCOTT AFB
Practice Address - State:IL
Practice Address - Zip Code:62225-5357
Practice Address - Country:US
Practice Address - Phone:618-229-5369
Practice Address - Fax:618-229-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3418M1120XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Air Transport