Organization
BRANCH MEDICAL CLINIC BRIDGEPORT
Active
Parent organization
NAVAL HOSPITAL TWENTYNINE PALMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL TWENTYNINE PALMS
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
MWTC BLDG 3005, BRIDGEPORT, CA 93517
(760) 830-2498
(760) 830-2182
Mailing address
1145 STURGESS STREET, BOX 788250, ATTN: FINANCIAL TECHNICIAN, TWENTYNINE PALMS, CA 92277-8250
(760) 830-2498
(760) 830-2182
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
10/16/2017
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