Branch Medical Clinic Dam Neck
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Portsmouth, VA. Organization (NPI-2).
Details
- NPI
- 1740326545
- Entity type
- Organization (NPI-2)
- Legal business name
- Branch Medical Clinic Dam Neck
- Organization subpart
- Yes
- Enumeration date
- Jan 29, 2007
- Last updated
- Nov 13, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Practice location
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone 757-953-5297
Mailing address
1885 Terrier AveVirginia Beach, VA 23461-2205
Phone 757-314-7200
Authorized official
William M Condon
Bumed Ubo
2404013643
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Military/U.S. Coast Guard Outpatient Clinic/Center providers in Portsmouth · All 3,843 providers in Portsmouth
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