Organization Active NPI

81MSGS/SGCQ

  • General Acute Care Hospital
  • Keesler Afb, MS
National Provider Identifier
1184073181
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
81MSGS/SGCQ
Practice address
81MSGS/SGCQ
301 Fisher St, RM 5A127
Keesler Afb, MS 39534
Phone
(210) 833-2295
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evan Dannhardt, D.O.NPI 1932558392
Title
Resident
Phone
(210) 833-2295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

81MSGS/SGCQ
301 Fisher St, RM 5A127
Keesler Afb, MS 39534

Mailing address

301 Fisher St, RM 5A127
81MSGS/SGCQ
Keesler Afb, MS 39534

National Provider Directory

National Provider Directory

Locations

301 Fisher St
Rm 5A127
Keesler AFB, MS 39534
Phone (228) 376-3092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1184073181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST, RM 5A127",
            "address_2": "81MSGS/SGCQ",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "39534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81MSGS/SGCQ",
            "address_2": "301 FISHER ST, RM 5A127",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "39534",
            "telephone_number": "210-833-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "81MSGS/SGCQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "DANNHARDT",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "210-833-2295",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keesler Afb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.