# BRANCH MEDICAL CLINIC MERIDIAN

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

## Provider details

- **NPI number:** 1609076033
- **Legal business name:** NAVAL HOSPITAL PENSACOLA
- **Authorized official:** WILLIAM M CONDON (DHA FINANCIAL MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 1801 FULLER RD, MERIDIAN, MS 39309-5106
- **Practice address phone:** (850) 505-6157
- **Mailing address:** 6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
- **Mailing address phone:** (850) 505-6157
- **Mailing address fax:** (850) 505-6157

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 03/10/2022