BRANCH MEDICAL CLINIC BANCROFT HALL NPI 1033315080

NPI Details

BRANCH MEDICAL CLINIC BANCROFT HALL is a military/u.s. coast guard outpatient clinic center in Annapolis, MD. The provider is 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-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. BRANCH MEDICAL CLINIC BANCROFT HALL NPI is 1033315080. The provider is registered as an organization entity type.

The provider's business location address is:

121 BLAKE RD
ANNAPOLIS, MD
ZIP 21402-300
Phone: (410) 293-1771

The provider's authorized official is William Michael Condon .
The authorized official title is Navy Medicine Ubo Program Manager and has the following contact phone number (240) 401-3643.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 12/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: