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Ft Meade Meddac

Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Fort Meade, MD · enumerated 2006 · authorized official Terri Kimbrow, Ubo Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164507703

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Registry record

Entity type Organization (Type 2)
Legal business name Ft Meade Meddac
Other name <Unavail>
Parent organization Ft Meade Meddac
Practice address 2480 Llewellyn Ave, Fort Meade, MD, 20755
Enumeration date Oct 25, 2006
Last updated in NPPES May 21, 2025

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Primary
332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Terri Kimbrow
Title Ubo Manager

Other identifiers

Identifier Type State Issuer
AN2598588 Other - MEDCO
02DT Other - BCBS FEDERAL
1447357298 / 2125284 Other - PHARMACY NPI/NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Ft Meade Meddac?
Ft Meade Meddac is registered in NPPES as a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-21.