Branch Medical Clinic Annex Wahiawa in Pearl Harbor - Military/u.s. Coast Guard Outpatient
Branch Medical Clinic Annex Wahiawa - NPI 1740489590
Branch Medical Clinic Annex Wahiawa is a Military/u.s. Coast Guard Outpatient in Pearl Harbor, Hawaii. Branch Medical Clinic Annex Wahiawa practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Outpatient. The NPI Number for Branch Medical Clinic Annex Wahiawa is 1740489590. The last update date is 2017-11-17.
Branch Medical Clinic Annex Wahiawa's current location address is 480 Central Ave, Pearl Harbor, Hawaii. You can contact this provider via phone number 8086535340. The mailing address for Branch Medical Clinic Annex Wahiawa is 480 Central Ave, Pearl Harbor, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Branch Medical Clinic Annex Wahiawa |
|---|---|
| Address | 480 Central Ave, Pearl Harbor, Hawaii |
| Phone Number | 8086535340 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUMED UBO |
|---|---|
| Authorized Official Name | Condon M William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1740489590 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2017-11-17 |
Provider Mailing Address Detail
| Address | 480 Central Ave |
|---|---|
| City | Pearl Harbor |
| State | Hawaii (HI) |
| Post Code | 96860 |
| Phone Number | 8086535340 |
| 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 Branch Medical Clinic Annex Wahiawa's unique identification number?
The Branch Medical Clinic Annex Wahiawa has been assigned the NPI (National Provider Identifier) Number 1740489590 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 physical location address of Branch Medical Clinic Annex Wahiawa?
The Branch Medical Clinic Annex Wahiawa is physically situated at 480 Central Ave, in the city of Pearl Harbor, state of HI, with the postal code 96860.
What is Branch Medical Clinic Annex Wahiawa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Branch Medical Clinic Annex Wahiawa's specialized field of practice is Military/u.s. Coast Guard Outpatient, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1100X.
When did the Branch Medical Clinic Annex Wahiawa receive its 1740489590?
The Branch Medical Clinic Annex Wahiawa was issued its 1740489590 on 2007-07-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Branch Medical Clinic Annex Wahiawa most recently updated or refreshed?
The details pertaining to the Branch Medical Clinic Annex Wahiawa, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-11-17.
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