Organization · NPI-2
65 Medical Group
Clinic/Center, Primary Care · Apo, AE
NPI number1487624466
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1487624466
- Entity type
- Organization (NPI-2)
- Legal business name
- 65 Medical Group
- Organization subpart
- No
- Enumeration date
- Jan 24, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QE0002X | Clinic/Center, Emergency Care | – | – | |
| 261QF0050X | Clinic/Center, Family Planning, Non-Surgical | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | |
| 261QM1101X | Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure | – | – | |
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | – | – | |
| 261QM1103X | Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) | – | – | |
| 261QP0904X | Clinic/Center, Public Health, Federal | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
Unit 7745Apo, AE 09720
Portugal
Phone 011351295573239 · Fax 011351295574214
Mailing address
Unit 7745Apo, AE 09720
Portugal
Phone 011351295573239 · Fax 011351295574214
Authorized official
Christopher Douglas Eaton
Air Force Uniform Business Office P
7036816303
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