Branch Medical Clinic Little Creek in Portsmouth - Military/u.s. Coast Guard Outpatient
Branch Medical Clinic Little Creek - NPI 1558407734
Branch Medical Clinic Little Creek is a Military/u.s. Coast Guard Outpatient in Portsmouth, Virginia. Branch Medical Clinic Little Creek practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Branch Medical Clinic Little Creek is 1558407734. The last update date is 2017-12-20.
Branch Medical Clinic Little Creek's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579535297. The mailing address for Branch Medical Clinic Little Creek is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Branch Medical Clinic Little Creek |
|---|---|
| Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Phone Number | 7579535297 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NAVY MEDIC |
|---|---|
| Authorized Official Name | Condon Michael William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1558407734 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2017-12-20 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Cir |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 2370821110 |
| Phone Number | 7579535297 |
| 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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Post Comment/ Review Below
What is the unique identifier code issued to Branch Medical Clinic Little Creek by the Centers for Medicare & Medicaid Services (CMS)?
The Branch Medical Clinic Little Creek has been assigned the NPI (National Provider Identifier) 1558407734. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Branch Medical Clinic Little Creek is physically located?
The Branch Medical Clinic Little Creek is situated at the following address: 620 John Paul Jones Cir, Portsmouth, VA 2370821110.
What is the Branch Medical Clinic Little Creek's specialty and taxonomy code?
The Branch Medical Clinic Little Creek's specialty is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558407734 to Branch Medical Clinic Little Creek?
The Centers for Medicare & Medicaid Services assigned the 1558407734 to Branch Medical Clinic Little Creek on 2007-01-29.
As of what date was the information pertaining to Branch Medical Clinic Little Creek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Branch Medical Clinic Little Creek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-12-20.
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