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NAVAL HOSPITAL CAMP PENDLETON NPI 1114121449


NPI Information

NPI: 1114121449
Provider Name: NAVAL HOSPITAL CAMP PENDLETON

Doing Business As: BMC SAN ONOFRE MCB

Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
BASILONE RD, BLDG 520450
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 725-1621
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NAVAL HOSPITAL CAMP PENDLETON is a military/u.s. coast guard outpatient clinic center in Camp Pendleton, CA. 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. NAVAL HOSPITAL CAMP PENDLETON NPI is 1114121449. The provider is registered as an organization entity type.
The provider Is Doing Business As Bmc San Onofre Mcb.

The provider's business location address is:

BASILONE RD, BLDG 520450
CAMP PENDLETON, CA
ZIP 92055-191
Phone: (760) 725-1621
Fax: (760) 725-1661

The provider's authorized official is James H Peterman .
The authorized official title is Business Office Supervisor and has the following contact phone number (760) 725-1621.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 4/10/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386604387OTHERCALIFORNIAPARENT FACILITY NPI

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: 4/28/2024

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