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Organization

BRANCH MEDICAL CLINIC CAMP SMITH MEDICAL ANNEX

Active
Parent organization
NAVAL HEALTH CLINIC HAWAII
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAVAL HEALTH CLINIC HAWAII
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization

Contact information

Practice address
480 CENTRAL AVE, CODE 02, PEARL HARBOR, HI 96860-4908
(808) 474-2239
Mailing address
480 CENTRAL AVE, CODE 02, PEARL HARBOR, HI 96860-4908

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
07/12/2007
Last updated
11/17/2017
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