17th Medgrp-Goodfellow
17th Medgrp-Goodfellow is a healthcare organization registered as Military/U.S. Coast Guard Pharmacy in Goodfellow Afb, TX, holding Type 2 (organization) NPI 1346654175 since 2014. The authorized official on file is Hector Morales, Chief Dha Pass.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1346654175 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 17th Medgrp-Goodfellow |
| Other name | <Unavail> |
| Parent organization | 17th Medgrp-Goodfellow |
| Practice address | 271 FORT RICHARDSON AVE, Goodfellow Afb, TX, 76908 |
| Phone | 3256543101 |
| Fax | 3256545898 |
| Enumeration date | 2014-06-19 |
| Last updated in NPPES | 2025-06-13 |
Authorized official
| Name | Hector Morales |
|---|---|
| Title | Chief Dha Pass |
| Phone | 2105366650 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332000000X | Military/U.S. Coast Guard Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146403 | Other | — | PK |
Copy-ready billing details
Provider: 17th Medgrp-Goodfellow NPI: 1346654175 Taxonomy: 332000000X (Military/U.S. Coast Guard Pharmacy) Address: 271 FORT RICHARDSON AVE, Goodfellow Afb, TX, 76908
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104805142 | 17th Medgrp-Goodfellow | Organization | Military/U.S. Coast Guard Outpatient Clinic/Center | Goodfellow Afb, TX |
| 1851486419 | Warren Dial | Individual | Medical Physician Assistant | Goodfellow Afb, TX |
| 1053400101 | Paul Schroth | Individual | Family Nurse Practitioner | Goodfellow Air Force Base, TX |
| 1720278773 | Lindsay Denton | Individual | Optometrist | Goodfellow Afb, TX |
| 1053582676 | Pedro Colon | Individual | Pharmacist | Goodfellow Afb, TX |
| 1952574824 | Teresa Stanley | Individual | Medical Physician Assistant | Goodfellow Afb, TX |
| 1588828974 | Alicia Dudley | Individual | Clinical Social Worker | San Angelo, TX |
| 1275853749 | Kwani Williams | Individual | Family Medicine Physician | San Angelo, TX |
Verify this record
Cross-check NPI 1346654175 against the authoritative CMS record: view 17th Medgrp-Goodfellow on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is 17th Medgrp-Goodfellow?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.