# BRANCH MEDICAL CLINIC BANCROFT HALL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HEALTH CLINIC ANNAPOLIS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033315080
- **Legal business name:** NAVAL HEALTH CLINIC ANNAPOLIS
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 121 BLAKE RD, ANNAPOLIS, MD 21402-1300
- **Practice address phone:** (410) 293-1771
- **Mailing address:** 8901 WISCONSIN AVE, PSC BOX 509 CODE 6300, BETHESDA, MD 20889-0001
- **Mailing address phone:** (301) 295-4934
- **Mailing address fax:** (301) 295-1299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 12/19/2017