# ALEXANDER T AUGUSTA MED CTR-FT BELVOIR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
- **Other names:** DILORENZO TRICARE HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720292501
- **Legal business name:** ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
- **Authorized official:** WILLIAM MICHAEL CONDON (DHA UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** THE PENTAGON, WASHINGTON, DC 20310-5600
- **Practice address phone:** (301) 295-4934
- **Mailing address:** 8901 WISCONSIN AVE, PSC BOX 509 CODE 6300, BETHESDA, MD 20889-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 05/30/2025