Tricare Medical Clinic Virginia Beach in Portsmouth - Military/u.s. Coast Guard Outpatient
Tricare Medical Clinic Virginia Beach - NPI 1518003797
Tricare Medical Clinic Virginia Beach is a Military/u.s. Coast Guard Outpatient in Portsmouth, Virginia. Tricare Medical Clinic Virginia Beach practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Tricare Medical Clinic Virginia Beach is 1518003797. The last update date is 2017-12-20.
Tricare Medical Clinic Virginia Beach'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 Tricare Medical Clinic Virginia Beach is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tricare Medical Clinic Virginia Beach |
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Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
Phone Number | 7579535297 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | NAVY MEDIC |
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Authorized Official Name | Condon Michael William |
Telephone Number | 2404013643 |
NPI Number Detail
NPI Number | 1518003797 |
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Provider Enumeration Date | 2007-01-29 |
Last Updated Date | 2017-12-20 |
Provider Mailing Address Detail
Address | 620 John Paul Jones Cir |
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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 |
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Taxonomy | 261Qm1100X |
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 Medical Clinic Virginia Beach by the Centers for Medicare & Medicaid Services?
The Tricare Medical Clinic Virginia Beach has been assigned the NPI (National Provider Identifier) 1518003797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tricare Medical Clinic Virginia Beach's physical address?
The Tricare Medical Clinic Virginia Beach is physically located at 620 John Paul Jones Cir, in the city of Portsmouth, VA, with the postal code 2370821110.
What is Tricare Medical Clinic Virginia Beach's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tricare Medical Clinic Virginia Beach is Military/u.s. Coast Guard Outpatient, and the taxonomy code that classifies this field of practice is 261Qm1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518003797 to Tricare Medical Clinic Virginia Beach?
The Centers for Medicare & Medicaid Services assigned the 1518003797 to Tricare Medical Clinic Virginia Beach on 2007-01-29.
As of what date was the information regarding Tricare Medical Clinic Virginia Beach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tricare Medical Clinic Virginia Beach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-20.
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