Walson Medical Support Element in Ft. Dix - Military Outpatient Operational (transportable) Component
Walson Medical Support Element - NPI 1154474419
Walson Medical Support Element is a Military Outpatient Operational (transportable) Component in Ft. Dix, New Jersey. Walson Medical Support Element practices all healthcare services and medical treatments related to Military Outpatient Operational (transportable) Component. The NPI Number for Walson Medical Support Element is 1154474419. The last update date is 2020-08-22.
Walson Medical Support Element's current location address is 5631 Baltimore Ave, Ft. Dix, New Jersey. You can contact this provider via phone number 6095625419. The mailing address for Walson Medical Support Element is 5631 Baltimore Ave, Ft. Dix, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walson Medical Support Element |
|---|---|
| Address | 5631 Baltimore Ave, Ft. Dix, New Jersey |
| Phone Number | 6095625419 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DCCS |
|---|---|
| Authorized Official Name | Martins Albert |
| Credentials | MD |
| Telephone Number | 6095625419 |
NPI Number Detail
| NPI Number | 1154474419 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5631 Baltimore Ave |
|---|---|
| City | Ft. Dix |
| State | New Jersey (NJ) |
| Post Code | 86400000 |
| Phone Number | 6095625419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Outpatient Operational (transportable) Component |
|---|---|
| Taxonomy | 261Qm1102X |
| Licence No | F333963-1 |
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Definition: Non-fixed facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may r |
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What is the unique identifier code issued to Walson Medical Support Element by the Centers for Medicare & Medicaid Services?
The Walson Medical Support Element has been assigned the NPI (National Provider Identifier) 1154474419. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Walson Medical Support Element is geographically located?
The Walson Medical Support Element is physically situated at the following location: 5631 Baltimore Ave, Ft. Dix, NJ, 86400000.
What is Walson Medical Support Element's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walson Medical Support Element is Military Outpatient Operational (transportable) Component, and the taxonomy code that classifies this field of practice is 261Qm1102X.
When was the Walson Medical Support Element's 1154474419 issued?
The Walson Medical Support Element's 1154474419 was issued on 2007-01-19.
As of what date were the Walson Medical Support Element's details last updated?
The information pertaining to the Walson Medical Support Element, including its address, specialty, and other details, was most recently updated on 2020-08-22.