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Branch Medical Clinic Naval Shipyard Norfolk

Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Portsmouth, VA. Organization (NPI-2).

NPI number1821135658
StatusActive
Last updated in NPPESNov 13, 2017

Details

NPI
1821135658
Entity type
Organization (NPI-2)
Legal business name
Branch Medical Clinic Naval Shipyard Norfolk
Organization subpart
Yes
Enumeration date
Jan 31, 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 codeDescriptionLicenseStatePrimary
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient––Yes

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone 757-953-5297

Mailing address

Norfolk Naval Shipyard
Bldg 277
Portsmouth, VA 23709

Phone 757-314-6901

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.

Other Military/U.S. Coast Guard Outpatient Clinic/Center providers in Portsmouth, VA

All 12 Military/U.S. Coast Guard Outpatient Clinic/Center providers in Portsmouth · All 3,843 providers in Portsmouth

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