TRICARE MEDICAL CLINIC SUFFOLK
NPI 1821501719
Clinic/Center - Military/U.S. Coast Guard Outpatient in Chesapeake, VA

Active since November 14, 2017
1317 BALLAHACK RD, CHESAPEAKE, VA 23322(703) 681-9522 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tricare Medical Clinic Suffolk NPPES

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

TRICARE MEDICAL CLINIC SUFFOLK (NPI 1821501719) is a healthcare organization registered as a military/u.s. coast guard outpatient in Chesapeake, Virginia and active in the NPI registry since November 2017. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1821501719
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameTRICARE MEDICAL CLINIC SUFFOLK
Location Address1317 BALLAHACK RDChesapeake, VA 23322-2499
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Organization SubpartYesParent: Naval Medical Center Portsmouth
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateNovember 14, 2017
NPI 1821501719 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.
1317 BALLAHACK RD, Chesapeake, VA 23322

Other Providers at the Same Location NPPES 5

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

Dentist
1317 BALLAHACK RD
CHESAPEAKE, VA 23322
Physician Assistant (Medical)
1317 BALLAHACK RD
CHESAPEAKE, VA 23322
Military Health Care Provider (Independent Duty Medical Technicians)
1317 BALLAHACK RD, SUITE 100
CHESAPEAKE, VA 23322
Registered Nurse (General Practice)
1317 BALLAHACK RD, SUITE 100
CHESAPEAKE, VA 23322
Military Health Care Provider (Independent Duty Corpsman)
1317 BALLAHACK RD, STE 100
CHESAPEAKE, VA 23322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tricare Medical Clinic Suffolk's NPI number?

The NPI number for Tricare Medical Clinic Suffolk is 1821501719. It was assigned to this organization in the NPPES registry on November 14, 2017.

Where is Tricare Medical Clinic Suffolk located?

Tricare Medical Clinic Suffolk is located at 1317 Ballahack Rd, Chesapeake, VA 23322. The listed phone number is (703) 681-9522.

What is Tricare Medical Clinic Suffolk's specialty?

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

When was this NPI record last updated?

The NPPES record for Tricare Medical Clinic Suffolk was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.