37TH Medical Group

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

37TH MEDICAL GROUP

Practice address

2506 Biggs Avenue
BLDG. 2506
Lackland Afb, TX 78236-5511

Phone

(210) 671-9421

Fax

(210) 925-1127

NPI assigned

Apr 17, 2007

Organization subpart

Yes

Parent organization

WILFORD HALL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Serena Lynn Hansken

Title

Business Office Program Manager

Phone

(703) 588-6419

Specialties & licenses 2

Addresses

Other names 1

• 37th Medical Group - Lackland Other name

Part of

Lackland BMT Op Phcy

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1235355322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 BIGGS AVENUE",
            "address_2": "BLDG. 2506",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365511",
            "telephone_number": "210-671-9421",
            "fax_number": "210-925-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 BIGGS AVENUE",
            "address_2": "BLDG. 2506",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365511",
            "telephone_number": "210-671-9421",
            "fax_number": "210-925-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "37TH MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILFORD HALL MEDICAL CENTER",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HANSKEN",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE PROGRAM MANAGER",
        "authorized_official_telephone_number": "703-588-6419"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "37th Medical Group - Lackland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 59TH MDW-Whasc-Lackland
• Linda J. Aadland-Lassandro
• Collins Abere
• Karla Elizabeth Adams, MD
• Raul Alfonso Aguilar, M.D.

• Military/U.S. Coast Guard Outpatient Clinic/Center in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.