Tricare Outpatient Clinic Chula Vista in Chula Vista - Military/u.s. Coast Guard Outpatient
Tricare Outpatient Clinic Chula Vista - NPI 1467644625
Tricare Outpatient Clinic Chula Vista is a Military/u.s. Coast Guard Outpatient in Chula Vista, California. Tricare Outpatient Clinic Chula Vista practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Tricare Outpatient Clinic Chula Vista is 1467644625. The last update date is 2019-04-04.
Tricare Outpatient Clinic Chula Vista's current location address is 644 Naples St, Chula Vista, California. You can contact this provider via phone number 6197445354 and fax number 6197445391. The mailing address for Tricare Outpatient Clinic Chula Vista is 644 Naples St, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tricare Outpatient Clinic Chula Vista |
|---|---|
| Address | 644 Naples St, Chula Vista, California |
| Phone Number | 6197445354 |
| Fax Number | 6197445391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NAVY MEDIC |
|---|---|
| Authorized Official Name | Condon Michael William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1467644625 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2019-04-04 |
Provider Mailing Address Detail
| Address | 644 Naples St |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919111636 |
| Phone Number | 6197445354 |
| Fax Number | 6197445391 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| Taxonomy | 261Qm1100X |
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Definition: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-dep |
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What is the unique 10-digit identification code issued to Tricare Outpatient Clinic Chula Vista by the Centers for Medicare & Medicaid Services?
The Tricare Outpatient Clinic Chula Vista has been assigned the NPI (National Provider Identifier) 1467644625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tricare Outpatient Clinic Chula Vista?
The Tricare Outpatient Clinic Chula Vista is physically situated at 644 Naples St, in the city of Chula Vista, state of CA, with the postal code 919111636.
What is Tricare Outpatient Clinic Chula Vista's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tricare Outpatient Clinic Chula Vista's area of specialization is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1100X.
On what date did the Tricare Outpatient Clinic Chula Vista receive its 1467644625 assignment from the Centers for Medicare & Medicaid Services?
The Tricare Outpatient Clinic Chula Vista was assigned its 1467644625 by the Centers for Medicare & Medicaid Services on 2007-08-13.
As of what date was the information regarding Tricare Outpatient Clinic Chula Vista, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tricare Outpatient Clinic Chula Vista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-04.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL