# NAVAL HEALTH CLINIC PATUXENT RIVER

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

## Provider details

- **NPI number:** 1174620926
- **Legal business name:** NAVAL HEALTH CLINIC PATUXENT RIVER
- **Authorized official:** MR. HECTOR MORALES (CHIEF DHA POSC)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** BLDG 1600 WILSON DRIVE, INDIAN HEAD, MD 20640
- **Practice address phone:** (410) 744-4904
- **Practice address fax:** (410) 744-4361
- **Mailing address:** NATIONAL NAVAL MEDICAL, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
- **Mailing address phone:** (410) 744-4904
- **Mailing address fax:** (410) 744-4361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/15/2023