UNITED STATES NAVY NPI 1043632771

NPI Information

NPI: 1043632771
Provider Name: UNITED STATES NAVY
Classification: Clinic/Center - 261QM1103X
Specialization: Military Ambulatory Procedure Visits Operational (Transportable)
Entity Type: Organization
Doing Business As: NAVY MEDICINE SUPPORT COMMAND
Address: 2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL
ZIP 32212
Phone: (760) 725-3213

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NPI Details

UNITED STATES NAVY is a military ambulatory procedure visits operational (transportable) clinic center in Jacksonville, FL. The provider is non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. UNITED STATES NAVY NPI is 1043632771. The provider is registered as an organization entity type.
The provider Is Doing Business As Navy Medicine Support Command.

The provider's business location address is:

2005 KNIGHT LANE BLDG H
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL
ZIP 32212-140
Phone: (760) 725-3213

The provider's authorized official is Derek Edward Weiss .
The authorized official title is Pa and has the following contact phone number (760) 725-3213.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 2/20/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1103X	Clinic/Center	Military Ambulatory Procedure Visits Operational (Transportable)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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