Provider Demographics
NPI:1154420891
Name:6TH MEDICAL GROUP THIRD PARTY COLLECTIONS
Entity type:Organization
Organization Name:6TH MEDICAL GROUP THIRD PARTY COLLECTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:9208 KING PALM DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-1328
Mailing Address - Country:US
Mailing Address - Phone:813-828-2273
Mailing Address - Fax:
Practice Address - Street 1:9208 KING PALM DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-1328
Practice Address - Country:US
Practice Address - Phone:813-828-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:6TH MEDICAL GROUP THIRD PARTY COLLECTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-21
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2013075OtherPK