Kimbrough Acc Military Mtf
Kimbrough Acc Military Mtf is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Frederick, MD, holding Type 2 (organization) NPI 1649296815 since 2006. The authorized official on file is Terri Kimbrow, Ubo Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1649296815 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kimbrough Acc Military Mtf |
| Other name | <Unavail> |
| Parent organization | Kimbrough Acc Military Mtf |
| Practice address | 1434 PORTER ST, FORT DETRICK, Frederick, MD, 21702 |
| Phone | 3016197175 |
| Fax | 3016197676 |
| Enumeration date | 2006-07-14 |
| Last updated in NPPES | 2015-04-01 |
Authorized official
| Name | Terri Kimbrow |
|---|---|
| Title | Ubo Manager |
| Phone | 3016778512 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164507703 | Other | — | PARENT FACILITY NPI |
| AN2598588 | Other | — | MEDCO |
Copy-ready billing details
Provider: Kimbrough Acc Military Mtf NPI: 1649296815 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 1434 PORTER ST, FORT DETRICK, Frederick, MD, 21702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952391377 | Mary-Elizabeth Delmonte | Individual | Family Medicine Physician | Fort Detrick, MD |
| 1174508816 | Stephen Hyland | Individual | Preventive Medicine/Occupational Environmental Medicine Physician | Frederick, MD |
| 1184600876 | Debra Bavari | Individual | Family Medicine Physician | Frederick, MD |
| 1326024407 | Darrell Apple | Individual | Internal Medicine Physician | Frederick, MD |
| 1740268630 | Tina Silver | Individual | Family Medicine Physician | Fort Detrick, MD |
| 1760460968 | Marta Vickers | Individual | Family Nurse Practitioner | Fort Detrick, MD |
| 1255310058 | Mamie Ruble | Individual | Nurse Practitioner | Frederick, MD |
| 1063479715 | Robert Schwartz | Individual | Specialist | Fort Detrick, MD |
Verify this record
Cross-check NPI 1649296815 against the authoritative CMS record: view Kimbrough Acc Military Mtf 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
How current is this record?
Where is Kimbrough Acc Military Mtf located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-01.