# BRANCH MEDICAL CLINIC BELLE CHASSE

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

## Provider details

- **NPI number:** 1629278064
- **Legal business name:** NAVAL HOSPITAL PENSACOLA
- **Authorized official:** WILLIAM M CONDON (BUMED UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 400 RUSSELL AVE, BLDG 41, NEW ORLEANS, LA 70143-5077
- **Practice address phone:** (504) 678-3679
- **Practice address fax:** (504) 678-3670
- **Mailing address:** 6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
- **Mailing address phone:** (850) 505-6309
- **Mailing address fax:** (850) 505-6908

## 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:** 11/06/2017
