BRANCH MEDICAL CLINIC KINGS BAY - NPI 1114432085 - Clinic/Center in Kings Bay, GA

Q: What is Branch Medical Clinic Kings Bay's NPI number?

The NPI number for Branch Medical Clinic Kings Bay is 1114432085. It was assigned to this organization in the NPPES registry on December 13, 2017.

Q: What is Branch Medical Clinic Kings Bay'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 Kings Bay NPPES

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

BRANCH MEDICAL CLINIC KINGS BAY (NPI 1114432085) is a healthcare organization registered as a military/u.s. coast guard outpatient in Kings Bay, Georgia and active in the NPI registry since December 2017. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1114432085

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameBRANCH MEDICAL CLINIC KINGS BAY

Location Address881 USS JAMES MADISON RDKings Bay, GA 31547-2531

Mailing Address2080 Child StJacksonville, FL 32214-5005

Phone(912) 573-6398

Organization SubpartYesParent: Naval Hospital Jacksonville

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

Enumeration DateDecember 13, 2017

✔ NPI 1114432085 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.

881 USS JAMES MADISON RD, Kings Bay, GA 31547

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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.

MR. DAVID PATRICK NORRIS IDC, BSHS,MSHS,USN

Military Health Care Provider (Independent Duty Corpsman)

881 USS JAMES MADISON RD, NAVAL BRANCH HEALTH CLINIC
CPU KINGS BAY, GA 31547

Camden County (912) 573-2410

MR. ROBERT ANTHONY BICANOVSKY IDC

Military Health Care Provider (Independent Duty Corpsman)