316TH MEDGRP-MALCOLM GROW NPI 1215994660

NPI Information

  • NPI: 1215994660
  • Provider Name: 316TH MEDGRP-MALCOLM GROW
  • Classification: Clinic/Center - 261QM1101X
  • Specialization: Military and U.S. Coast Guard Ambulatory Procedure
  • Entity Type: Organization
  • :
  • Address: 1060 W PERIMETER RD
    JB ANDREWS, MD
    ZIP 20762
  • Phone: (240) 857-8658

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NPI Details

316TH MEDGRP-MALCOLM GROW is a military and u.s. coast guard ambulatory procedure clinic center in Jb Andrews, MD. The provider is that part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. 316TH MEDGRP-MALCOLM GROW NPI is 1215994660. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1060 W PERIMETER RD
JB ANDREWS, MD
ZIP 20762-602
Phone: (240) 857-8658
Fax: (240) 857-7700

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

The enumeration date for this NPI number is 4/28/2006 and was last updated on 3/12/2025.

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
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientNo
2261QM1101XClinic/CenterMilitary and U.S. Coast Guard Ambulatory ProcedureYes

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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