Tricare Outpatient Clinic Clairemont in San Diego - Military/u.s. Coast Guard Outpatient
Tricare Outpatient Clinic Clairemont - NPI 1922206853
Tricare Outpatient Clinic Clairemont is a Military/u.s. Coast Guard Outpatient in San Diego, California. Tricare Outpatient Clinic Clairemont practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Tricare Outpatient Clinic Clairemont is 1922206853. The last update date is 2019-04-04.
Tricare Outpatient Clinic Clairemont's current location address is 34800 Bob Wilson Dr, San Diego, California. You can contact this provider via phone number 6196450169. The mailing address for Tricare Outpatient Clinic Clairemont is 34800 Bob Wilson Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tricare Outpatient Clinic Clairemont |
|---|---|
| Address | 34800 Bob Wilson Dr, San Diego, California |
| Phone Number | 6196450169 |
| 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 | 1922206853 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2019-04-04 |
Provider Mailing Address Detail
| Address | 34800 Bob Wilson Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921341098 |
| Phone Number | 6196450169 |
| 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 provider identifier assigned to Tricare Outpatient Clinic Clairemont?
The Tricare Outpatient Clinic Clairemont has been issued the NPI (National Provider Identifier) 1922206853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tricare Outpatient Clinic Clairemont?
The Tricare Outpatient Clinic Clairemont is situated at 34800 Bob Wilson Dr, in the city of San Diego, state of CA, with the zip code 921341098.
What is Tricare Outpatient Clinic Clairemont's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tricare Outpatient Clinic Clairemont is Military/u.s. Coast Guard Outpatient, and the taxonomy code that classifies this field of practice is 261Qm1100X.
On what date did Tricare Outpatient Clinic Clairemont receive its 1922206853 assignment from the Centers for Medicare & Medicaid Services?
The Tricare Outpatient Clinic Clairemont was assigned its 1922206853 on 2007-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tricare Outpatient Clinic Clairemont most recently updated?
The details pertaining to the Tricare Outpatient Clinic Clairemont, including its address, specialty, and other relevant information, were last refreshed on 2019-04-04.