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Organization

BRANCH MEDICAL CLINIC MID-SOUTH

Active
Parent organization
NAVAL HOSPITAL PENSACOLA
Organization subpart
Yes

Provider details

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

Contact information

Practice address
5722 INTEGRITY DR, MILLINGTON, TN 38054-5021
(901) 874-6100
(901) 874-6103
Mailing address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-0003
(850) 505-6910
(850) 505-6908

Taxonomy

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

Other

Enumeration date
04/18/2006
Last updated
11/08/2017
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