316TH MEDGRP-MALCOLM GROW
NPI 1215994660
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Jb Andrews, MD

Q: What is 316th Medgrp-Malcolm Grow's NPI number?

The NPI number for 316th Medgrp-Malcolm Grow is 1215994660. It was assigned to this organization in the NPPES registry on April 28, 2006. The provider is also known as 779th Medical Group.

Q: What is 316th Medgrp-Malcolm Grow's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

Active since April 28, 2006

1060 W PERIMETER RD, JB ANDREWS, MD 20762(240) 857-8658(240) 857-7700 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Apr 10, 2024 (2 updates tracked since 2024).

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About 316th Medgrp-malcolm Grow NPPES

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

316TH MEDGRP-MALCOLM GROW (NPI 1215994660) is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Jb Andrews, Maryland and active in the NPI registry since April 2006. The organization lists William Michael Condon, Dha Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1215994660

Entity TypeOrganization

Primary Taxonomy261QM1101X

Legal Business Name316TH MEDGRP-MALCOLM GROW

Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602

Mailing Address1060 W Perimeter RdJb Andrews, MD 20762-6602 · (240) 857-8658 · Fax (240) 857-7700

Phone(240) 857-8658

Fax(240) 857-7700

Organization SubpartYes

Authorized OfficialWilliam Michael CondonDha Financial Manager · (240) 401-3643

Enumeration DateApril 28, 2006

Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1215994660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities

Taxonomy Code261QM1101X

Definition

That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.

Also ListedClinic/Center · Military/U.S. Coast Guard OutpatientTaxonomy 261QM1100X

1060 W PERIMETER RD, Jb Andrews, MD 20762

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Other Names 1

Other Name779th Medical Group

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.

CHELSEA BIANCA PAYNE M.D.

Family Medicine