# BRANCH MEDICAL CLINIC PUGET SOUND

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

## Provider details

- **NPI number:** 1457554776
- **Legal business name:** NAVAL HOSPITAL BREMERTON
- **Authorized official:** WILLIAM M CONDON (BUMED UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 1400 FARRAGUT AVE, BLDG 940, BREMERTON, WA 98314
- **Practice address phone:** (360) 476-2508
- **Practice address fax:** (360) 476-2480
- **Mailing address:** 1 BOONE RD, CODE 08RAZD, BREMERTON, WA 98312-1894
- **Mailing address phone:** (360) 475-4160
- **Mailing address fax:** (360) 475-4676

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 05/25/2018