Organization
NAVAL BRANCH CLINIC
Active
Parent organization
NATIONAL NAVAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL NAVAL MEDICAL CENTER
Authorized official
MARCIA DICKSON (SUPERVISOR REVENUE COLLECTIION)
(757) 824-2130
Entity
Organization
Contact information
Practice address
30 BATTLE GROUP WAY, WALLOPS ISLAND, VA 23337-2229
(757) 824-2130
Mailing address
8901 WISCONSIN AVE, PSC BOX 509 CODE 6300, BETHESDA, MD 20889-0001
(301) 295-4934
(301) 295-1299
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/11/2008
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