17TH MEDICAL GROUP
NPI 1235490574
Clinic/Center - Health Service in Goodfellow Afb, TX

Active since June 04, 2012
271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 76908(325) 654-5238 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 17th Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

17TH MEDICAL GROUP (NPI 1235490574) is a healthcare organization registered as a health service in Goodfellow Afb, Texas and active in the NPI registry since June 2012. The organization lists James Forrest, Colonel, as its authorized official.

NPPES Registry Identity

NPI1235490574
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business Name17TH MEDICAL GROUP
Location Address271 FORT RICHARDSON AVEGoodfellow Afb, TX 76908-4901
Mailing Address1407 Gregory DrSan Angelo, TX 76905-4213
Organization SubpartNo
Authorized OfficialJames ForrestColonel · (325) 654-3075
Enumeration DateJune 4, 2012
NPI 1235490574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
271 FORT RICHARDSON AVE, Goodfellow Afb, TX 76908

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Dentist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Nurse Practitioner (Family)
271 FORT RICHARDSON AVE, GOODFELLOW AFB CLINIC
GOODFELLOW AIR FORCE BASE, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Social Worker (Clinical)
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Clinic/Center (Military/U.S. Coast Guard Outpatient)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Social Worker (Clinical)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 17th Medical Group's NPI number?

The NPI number for 17th Medical Group is 1235490574. It was assigned to this organization in the NPPES registry on June 4, 2012.

Where is 17th Medical Group located?

17th Medical Group is located at 271 Fort Richardson Ave, Goodfellow Afb, TX 76908. The listed phone number is (325) 654-5238.

What is 17th Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for 17th Medical Group was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.