Branch Medical Clinic Camp Smith Medical Annex in Pearl Harbor - Military/u.s. Coast Guard Outpatient
Branch Medical Clinic Camp Smith Medical Annex - NPI 1073712824
Branch Medical Clinic Camp Smith Medical Annex is a Military/u.s. Coast Guard Outpatient in Pearl Harbor, Hawaii. Branch Medical Clinic Camp Smith Medical Annex practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Branch Medical Clinic Camp Smith Medical Annex is 1073712824. The last update date is 2017-11-17.
Branch Medical Clinic Camp Smith Medical Annex's current location address is 480 Central Ave, Pearl Harbor, Hawaii. You can contact this provider via phone number 8084742239. The mailing address for Branch Medical Clinic Camp Smith Medical Annex is 480 Central Ave, Pearl Harbor, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Branch Medical Clinic Camp Smith Medical Annex |
|---|---|
| Address | 480 Central Ave, Pearl Harbor, Hawaii |
| Phone Number | 8084742239 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUMED UBO |
|---|---|
| Authorized Official Name | Condon M William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1073712824 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2017-11-17 |
Provider Mailing Address Detail
| Address | 480 Central Ave |
|---|---|
| City | Pearl Harbor |
| State | Hawaii (HI) |
| Post Code | 968604908 |
| Phone Number | 8084742239 |
| Fax Number |
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 assigned to Branch Medical Clinic Camp Smith Medical Annex by the Centers for Medicare & Medicaid Services?
The Branch Medical Clinic Camp Smith Medical Annex has been issued the NPI (National Provider Identifier) 1073712824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Branch Medical Clinic Camp Smith Medical Annex's physical address?
The Branch Medical Clinic Camp Smith Medical Annex is physically located at 480 Central Ave, in the city of Pearl Harbor, HI, with the postal code 968604908.
What is Branch Medical Clinic Camp Smith Medical Annex's area of expertise and its corresponding taxonomy classification?
The Branch Medical Clinic Camp Smith Medical Annex's field of specialization is Military/u.s. Coast Guard Outpatient, and it falls under the taxonomy code 261Qm1100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Branch Medical Clinic Camp Smith Medical Annex receive the assignment of its 1073712824 from the Centers for Medicare & Medicaid Services?
The Branch Medical Clinic Camp Smith Medical Annex was issued its 1073712824 by the Centers for Medicare & Medicaid Services on 2007-07-12.
As of what date were the details related to Branch Medical Clinic Camp Smith Medical Annex most recently updated or revised?
The information pertaining to Branch Medical Clinic Camp Smith Medical Annex, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-17.