Naval Branch Clinic in Wallops Island - Military Outpatient Operational (transportable) Component
Naval Branch Clinic - NPI 1053517003
Naval Branch Clinic is a Military Outpatient Operational (transportable) Component in Wallops Island, Virginia. Naval Branch Clinic practices all healthcare services and medical treatments related to Military Outpatient Operational (transportable) Component. The NPI Number for Naval Branch Clinic is 1053517003. The last update date is 2008-07-11.
Naval Branch Clinic's current location address is 30 Battle Group Way, Wallops Island, Virginia. You can contact this provider via phone number 7578242130. The mailing address for Naval Branch Clinic is 30 Battle Group Way, Wallops Island, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Naval Branch Clinic |
|---|---|
| Address | 30 Battle Group Way, Wallops Island, Virginia |
| Phone Number | 7578242130 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISOR |
|---|---|
| Authorized Official Name | Dickson Marcia |
| Telephone Number | 7578242130 |
NPI Number Detail
| NPI Number | 1053517003 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 30 Battle Group Way |
|---|---|
| City | Wallops Island |
| State | Virginia (VA) |
| Post Code | 233372229 |
| Phone Number | 7578242130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Outpatient Operational (transportable) Component |
|---|---|
| Taxonomy | 261Qm1102X |
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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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Post Comment/ Review Below
What is the Naval Branch Clinic's 1053517003?
The Naval Branch Clinic's NPI (National Provider Identifier) Number is 1053517003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Naval Branch Clinic is physically located?
The Naval Branch Clinic is situated at the following address: 30 Battle Group Way, Wallops Island, VA 233372229.
What is the area of specialization for Naval Branch Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Naval Branch Clinic is Military Outpatient Operational (transportable) Component, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1102X.
On what date did the Naval Branch Clinic receive the assignment of its 1053517003 from the Centers for Medicare & Medicaid Services?
The Naval Branch Clinic was issued its 1053517003 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details related to Naval Branch Clinic most recently updated or revised?
The information pertaining to Naval Branch Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-11.