BRANCH MEDICAL CLINIC NAVAL SHIPYARD PEARL HARBOR
NPI 1992311930
Clinic/Center - Military/U.S. Coast Guard Outpatient in Pearl Harbor, HI

Q: What is Branch Medical Clinic Naval Shipyard Pearl Harbor's specialty?

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

Active since September 16, 2020

480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 473-1880 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Branch Medical Clinic Naval Shipyard Pearl Harbor NPPES

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

BRANCH MEDICAL CLINIC NAVAL SHIPYARD PEARL HARBOR (NPI 1992311930) is a healthcare organization registered as a military/u.s. coast guard outpatient in Pearl Harbor, Hawaii and active in the NPI registry since September 2020. The organization lists William M Condon, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1992311930

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameBRANCH MEDICAL CLINIC NAVAL SHIPYARD PEARL HARBOR

Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908

Mailing Address480 Central AvePearl Harbor, HI 96860-4908

Phone(808) 473-1880

Organization SubpartYesParent: Naval Health Clinic Hawaii

Authorized OfficialWilliam M CondonFinancial Manager · (240) 401-3643

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 15, 2020

✔ NPI 1992311930 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