Organization
TRICARE MEDICAL CLINIC CHESAPEAKE
Active
Parent organization
NAVAL MEDICAL CENTER PORTSMOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER PORTSMOUTH
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5297
Mailing address
1011 EDEN WAY N, STE H, CHESAPEAKE, VA 23320-2768
(757) 953-6366
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
11/13/2017
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