# WILLOW GROVE NAVAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1568668655
- **Legal business name:** NATIONAL NAVAL MEDICAL CENTER
- **Authorized official:** MARCIA DICKSON (SUPERVISOR REVENUE COLLECTION)
- **Authorized official phone:** (301) 295-4934

## Contact information

- **Practice address:** 609 INTRUDER DR, BULDING 137, WILLOW GROVE, PA 19090-6001
- **Practice address phone:** (215) 443-6357
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1102X | Military Outpatient Operational (Transportable) Component Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 07/11/2008