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Branch Medical Clinic Camp Hansen

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

NPI number1982804209
StatusActive
Last updated in NPPESApr 10, 2018

Details

NPI
1982804209
Entity type
Organization (NPI-2)
Legal business name
Branch Medical Clinic Camp Hansen
Organization subpart
Yes
Enumeration date
Jul 24, 2007
Last updated
Apr 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient––Yes

Practice location

Psc 482
Uniform Business Office
Fpo, AP 96362

Phone 011816117432014

Mailing address

Psc 482
Uniform Business Office
Fpo, AP 96362

Authorized official

William Michael Condon
Navy Medicine Ubo Program Manager
2404013643

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