Willow Grove Naval Health Clinic in Bethesda - Military Outpatient Operational (transportable) Component
Willow Grove Naval Health Clinic - NPI 1568668655
Willow Grove Naval Health Clinic is a Military Outpatient Operational (transportable) Component in Bethesda, Maryland. Willow Grove Naval Health Clinic practices all healthcare services and medical treatments related to Military Outpatient Operational (transportable) Component. The NPI Number for Willow Grove Naval Health Clinic is 1568668655. The last update date is 2008-07-11.
Willow Grove Naval Health Clinic's current location address is 8901 Wisconsin Ave, Bethesda, Maryland. You can contact this provider via phone number 3012954934 and fax number 3012951299. The mailing address for Willow Grove Naval Health Clinic is 8901 Wisconsin Ave, Bethesda, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Grove Naval Health Clinic |
|---|---|
| Address | 8901 Wisconsin Ave, Bethesda, Maryland |
| Phone Number | 3012954934 |
| Fax Number | 3012951299 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISOR |
|---|---|
| Authorized Official Name | Dickson Marcia |
| Telephone Number | 3012954934 |
NPI Number Detail
| NPI Number | 1568668655 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 8901 Wisconsin Ave |
|---|---|
| City | Bethesda |
| State | Maryland (MD) |
| Post Code | 208890001 |
| Phone Number | 3012954934 |
| Fax Number | 3012951299 |
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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What is the unique provider identifier assigned to Willow Grove Naval Health Clinic?
The Willow Grove Naval Health Clinic has been issued the NPI (National Provider Identifier) 1568668655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Willow Grove Naval Health Clinic located?
The Willow Grove Naval Health Clinic is located at 8901 Wisconsin Ave, Bethesda, MD 208890001.
What is Willow Grove Naval Health Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Grove Naval Health Clinic's specialized field of practice is Military Outpatient Operational (transportable) Component, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1102X.
When was the Willow Grove Naval Health Clinic's 1568668655 issued?
The Willow Grove Naval Health Clinic's 1568668655 was issued on 2007-06-25.
When was the Willow Grove Naval Health Clinic's information last updated?
The Willow Grove Naval Health Clinic's information was last updated on 2008-07-11.