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BRANCH MEDICAL CLINIC MCRD NPI 1649446857


NPI Information

NPI: 1649446857
Provider Name: BRANCH MEDICAL CLINIC MCRD
Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
35000 GUADALCANAL ST
BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA
ZIP 92140
Phone: (619) 524-4102
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BRANCH MEDICAL CLINIC MCRD is a military/u.s. coast guard outpatient clinic center in San Diego, 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. BRANCH MEDICAL CLINIC MCRD NPI is 1649446857. The provider is registered as an organization entity type.

The provider's business location address is:

35000 GUADALCANAL ST
BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA
ZIP 92140
Phone: (619) 524-4102

The provider's authorized official is William M 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 5/7/2008 and was last updated on 4/4/2019.


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

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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