# TRICARE MEDICAL CLINIC VIRGINIA BEACH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL MEDICAL CENTER PORTSMOUTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518003797
- **Legal business name:** NAVAL MEDICAL CENTER PORTSMOUTH
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
- **Practice address phone:** (757) 953-5297
- **Mailing address:** 2100 LYNNHAVEN PKWY, SUITE 201, VIRGINIA BEACH, VA 23456-1492
- **Mailing address phone:** (757) 314-8900

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 12/20/2017