NPI: 1730386327
Provider Name: BRANCH MEDICAL CLINIC NTC SAN DIEGO
Other Name: NAVAL BRANCH HEALTH CLINIC NTC, SAN DIEGO
Classification: Clinic/Center - 261QM1100X
Entity Type: Organization
Specialization: Military/U.S. Coast Guard Outpatient
Address:
2051 CUSHING ROAD
BLDG 624
SAN DIEGO, CA
ZIP 92106
Phone: (619) 524-0173
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BRANCH MEDICAL CLINIC NTC SAN DIEGO 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 NTC SAN DIEGO NPI is 1730386327. The provider is registered as an organization entity type.
The provider Other Name Is Naval Branch Health Clinic Ntc, San Diego.
The provider's business location address is:
2051 CUSHING ROAD
BLDG 624
SAN DIEGO, CA
ZIP 92106-000
Phone: (619) 524-0173
Fax: (619) 524-0118
The provider's authorized official is William Michael 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 6/28/2007 and was last updated on 4/4/2019.