WALSON MEDICAL SUPPORT ELEMENT NPI 1154474419

NPI Information

  • NPI: 1154474419
  • Provider Name: WALSON MEDICAL SUPPORT ELEMENT
  • Classification: Clinic/Center - 261QM1102X
  • Specialization: Military Outpatient Operational (Transportable) Component
  • Entity Type: Organization
  • Address: 5631 BALTIMORE AVE
    FT. DIX, NJ
    ZIP 08640
  • Phone: (609) 562-5419

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NPI Details

WALSON MEDICAL SUPPORT ELEMENT is a military outpatient operational (transportable) component clinic center in Ft. Dix, NJ. The provider is 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 receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. WALSON MEDICAL SUPPORT ELEMENT NPI is 1154474419. The provider is registered as an organization entity type.

The provider's business location address is:

5631 BALTIMORE AVE
FT. DIX, NJ
ZIP 08640-000
Phone: (609) 562-5419

The provider's authorized official is Albert Martins .
The authorized official title is Dccs and has the following contact phone number (609) 562-5419.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.

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
1261QM1102XClinic/CenterMilitary Outpatient Operational (Transportable) ComponentF333963-1NEW MEXICOYes

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: 3/30/2025

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