BRANCH MEDICAL CLINIC CAMP SMITH MEDICAL ANNEX - NPI 1073712824

Q: What is Branch Medical Clinic Camp Smith Medical Annex's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

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About Branch Medical Clinic Camp Smith Medical Annex NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANCH MEDICAL CLINIC CAMP SMITH MEDICAL ANNEX (NPI 1073712824) is a healthcare organization registered as a military/u.s. coast guard outpatient in Pearl Harbor, Hawaii and active in the NPI registry since July 2007. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1073712824

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameBRANCH MEDICAL CLINIC CAMP SMITH MEDICAL ANNEX

Location Address480 CENTRAL AVE, CODE 02Pearl Harbor, HI 96860-4908

Mailing Address480 Central Ave, Code 02Pearl Harbor, HI 96860-4908

Phone(808) 474-2239

Organization SubpartYesParent: Naval Health Clinic Hawaii

Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643

Enumeration DateJuly 12, 2007

Last NPPES UpdateNovember 17, 2017

✔ NPI 1073712824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities

Taxonomy Code261QM1100X

Definition

The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

480 CENTRAL AVE, Pearl Harbor, HI 96860

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN KNOREK PH.D.

Psychologist