# BRANCH MEDICAL CLINIC MID-SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HOSPITAL PENSACOLA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245295971
- **Legal business name:** NAVAL HOSPITAL PENSACOLA
- **Authorized official:** WILLIAM M CONDON (BUMED UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 5722 INTEGRITY DR, MILLINGTON, TN 38054-5021
- **Practice address phone:** (901) 874-6100
- **Practice address fax:** (901) 874-6103
- **Mailing address:** 6000 W HIGHWAY 98, PENSACOLA, FL 32512-0003
- **Mailing address phone:** (850) 505-6910
- **Mailing address fax:** (850) 505-6908

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 11/08/2017