✓ Licensed & Credentialed Hospitals — Military Hospital (286500000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

375TH MEDGRP-SCOTT (NPI #1861478448)

Military Hospital • SCOTT AFB, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1861478448
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
286500000X (CMS A0[7])
Licensed & Credentialed Hospitals — Military Hospital
Box 32 Service Location & ZIP+4
310 W LOSEY ST, SCOTT AFB, IL, 62225-5250
✓ 9-Digit EDI 837 ZIP+4 (62225-5250)
Practice Phone & Referral Fax
Fax: (618) 256-7931
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1861478448 (375TH MEDGRP-SCOTT) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1861478448 (NPI-2 Organization / Facility)
Provider / Legal Name375TH MEDGRP-SCOTT
Plain-English SpecialtyLicensed & Credentialed Hospitals — Military Hospital
NUCC Code: 286500000X (Military Hospital)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address310 W LOSEY ST, SCOTT AFB, IL, 62225-5250
Practice Telephone / FaxTel: (618) 256-6267 | Fax: (618) 256-7931
Administrative Mailing Address310 W LOSEY ST, SCOTT AFB, IL, 62225-5250
Enumeration & Last SyncEnumerated: 2005-12-15 | CMS Record Updated: 2025-05-29
Authorized OfficialBRUCE GARDNER (Resident Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

310 W LOSEY ST, SCOTT AFB, IL, 62225-5250

🗺️ Open in Google Maps 🏥 More Providers in SCOTT AFB

Plain-English Taxonomy & CMS Crosswalk (286500000X)

What Does Taxonomy Code 286500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 286500000X translates to:
"Licensed & Credentialed Hospitals — Military Hospital"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospitals)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Military Hospital for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (375TH MEDGRP-SCOTT)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
286500000X — Military Hospital
Plain English: Licensed & Credentialed Hospitals — Military Hospital
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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