Branch Medical Clinic Edson Range in Camp Pendleton - Military/u.s. Coast Guard Outpatient
Branch Medical Clinic Edson Range - NPI 1912100983
Branch Medical Clinic Edson Range is a Military/u.s. Coast Guard Outpatient in Camp Pendleton, California. Branch Medical Clinic Edson Range practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Branch Medical Clinic Edson Range is 1912100983. The last update date is 2017-10-16.
Branch Medical Clinic Edson Range's current location address is Po Box 555191, Camp Pendleton, California. You can contact this provider via phone number 7607251621 and fax number 7607251661. The mailing address for Branch Medical Clinic Edson Range is Po Box 555191, Camp Pendleton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Branch Medical Clinic Edson Range |
|---|---|
| Address | Po Box 555191, Camp Pendleton, California |
| Phone Number | 7607251621 |
| Fax Number | 7607251661 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUMED UBO |
|---|---|
| Authorized Official Name | Condon M William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1912100983 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2017-10-16 |
Provider Mailing Address Detail
| Address | Po Box 555191 |
|---|---|
| City | Camp Pendleton |
| State | California (CA) |
| Post Code | 920555191 |
| Phone Number | 7607251621 |
| Fax Number | 7607251661 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Outpatient |
|---|---|
| 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1386604387 | CA | PARENT FACILITY NPI |
Post Comment/ Review Below
What is the Branch Medical Clinic Edson Range's unique identification number?
The Branch Medical Clinic Edson Range has been assigned the NPI (National Provider Identifier) Number 1912100983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Branch Medical Clinic Edson Range is physically located?
The Branch Medical Clinic Edson Range is physically situated at the following address: Po Box 555191, Camp Pendleton, CA, 920555191.
What is Branch Medical Clinic Edson Range's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Branch Medical Clinic Edson Range is Military/u.s. Coast Guard Outpatient, and the taxonomy code that classifies this field of practice is 261Qm1100X.
On what date did the Branch Medical Clinic Edson Range receive the assignment of its 1912100983 from the Centers for Medicare & Medicaid Services?
The Branch Medical Clinic Edson Range was issued its 1912100983 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date were the details related to Branch Medical Clinic Edson Range most recently updated or revised?
The information pertaining to Branch Medical Clinic Edson Range, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-16.
NPI Number: 1720081763
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