Branch Medical Clinic Ocs Brown Field
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Quantico, VA. Organization (NPI-2).
NPI number1821281908
StatusActive
Last updated in NPPESOct 23, 2017
Details
- NPI
- 1821281908
- Entity type
- Organization (NPI-2)
- Legal business name
- Branch Medical Clinic Ocs Brown Field
- Organization subpart
- Yes
- Enumeration date
- Aug 22, 2007
- Last updated
- Oct 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Practice location
2189 Elrod AveBuilding 5003
Quantico, VA 22134-5113
Phone 703-784-2062
Mailing address
3259 Catlin AveQuantico, VA 22134-5109
Phone 703-784-1770
Authorized official
William M Condon
Bumed Ubo
2404013643
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