CMS-1500 Box 24J / 33a • NPI
1306826953
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2865M2000X (CMS A0[7])
Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
Box 32 Service Location & ZIP+4
101 BODIN CIR, TRAVIS AFB, CA, 94535-1809
✓ 9-Digit EDI 837 ZIP+4 (94535-1809)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1306826953 (60 MSGS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1306826953 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 60 MSGS |
| Plain-English Specialty | Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: 2865M2000X (Military Hospital, Military General Acute Care Hospital) |
| Certifying / Licensing Body | The Joint Commission (TJC) / CMS Conditions of Participation (CoP) |
| Practice Location Address | 101 BODIN CIR, TRAVIS AFB, CA, 94535-1809 |
| Practice Telephone / Fax | Tel: (707) 423-3589 | Fax: (707) 423-5365 |
| Administrative Mailing Address | 101 CLARK CT, TRAVIS AFB, CA, 94535-1256 |
| Enumeration & Last Sync | Enumerated: 2006-01-19 | CMS Record Updated: 2008-06-13 |
| Authorized Official | SARA ARMOUR (Nurse Anesthetist) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2865M2000X)
What Does Taxonomy Code 2865M2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2865M2000X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (60 MSGS)
Typical CPT / Diagnostic Procedures:- Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
- Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
- Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
- Inpatient General, Orthopedic & Cardiothoracic Surgery
- 24-Hour Clinical Laboratory, Blood Bank & Microbiology Services
- Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
- Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
- Balanced Crystalloid Infusions & Oral Rehydration Protocols
- Perioperative Anesthetics, Vasopressors & Analgesics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2865M2000X — Military Hospital, Military General Acute Care HospitalPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: MO | License: 151472 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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