NAVAL HOSPITAL CAMP PENDLETON


Address: Mcmwtc, Bldg 3005 Sr 108, Bridgeport, CA 93517
Phone: 7609321619

NAVAL HOSPITAL CAMP PENDLETON (NPI# 1093127789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093127789
Entity Type Organization
Organization Name NAVAL HOSPITAL CAMP PENDLETON
Other Organization Name CAMP PEND 43 ABMC WCC PHCY
Practice Address Mcmwtc
Bldg 3005 Sr 108
Bridgeport
CA 93517
Mailing Address 34520 Bob Wilson Dr
Ste 20
San Diego
CA 92134-2098
Practice Telephone 7609321619
Practice Fax Number 7609321623
Mailing Telephone 6195328400
Enumeration Date 2014-05-29
Last Update Date 2018-05-25
Authorized Official Name MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL HOSPITAL CAMP PENDLETON

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2145966 01

Other Provider/Organization Names

Other Name Type Code
CAMP PEND 43 ABMC WCC PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952765125 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 135 Santa Margarita Rd, Camp Pendelton, CA 92055 2016-04-13
1821485152 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 2015-04-24
1942697685 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
1790179455 Naval Hospital Camp Pendleton Clinic/Center 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 2015-03-20
1275948143 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 2014-06-30
1285048348 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 2014-06-17
1205249042 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 2014-06-10
1972916740 Naval Hospital Camp Pendleton Pharmacy 52 Area Branch Medical, 540450 Basilone Rd, Camp Pendelton, CA 92055 2014-06-09
1275946444 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Regiment, 16th Street, Camp Pendelton, CA 92055 2014-06-05
1366855538 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 2014-06-05

Office Location

Street Address MCMWTC
BLDG 3005 SR 108
City BRIDGEPORT
State CA
Zip Code 93517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568567816 Naval Hospital Twentynine Palms Military/U.S. Coast Guard Pharmacy Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 2006-09-13
1912394727 Naval Hospital Twentynine Palms Military/U.S. Coast Guard Pharmacy Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 2015-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861785651 Greg Urick Military Health Care Provider Sr 108 Bldg 3005, Dewert Branch Medical Clinic, Bridgeport, CA 93517 2011-05-26
1093023681 Robert Joseph Scherl Physician Assistant Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 2010-09-17
1649416835 Duane E Postler Military Health Care Provider Bldg 3005 Sr 108, Bridgeport, CA 93517 2008-12-18
1730339763 Toby Natividad Hernandez Military Health Care Provider Mwtc Bldg 3005 State Route 108, Attn: Medical, Bridgeport, CA 93517 2008-09-26
1083817597 Branch Medical Clinic Bridgeport Clinic/Center Mwtc Bldg 3005, Bridgeport, CA 93517 2007-06-11
1730205949 County of Mono Ambulance 199 Twin Lakes Road, Bridgeport, CA 93517 2007-03-21
1720134372 Tommy Savedra Physician Assistant 221 Twin Lakes Rd, Bridgeport, CA 93517 2007-01-26
1043383508 Susan Flanigan Bates Nurse Practitioner Mcmwtc Bldg 3005, Hc 83 Box 1, Bridgeport, CA 93517 2006-11-15
1003885427 Ryan Stephen Hildebrand Military Health Care Provider Bldg 3005, S R 108, Bridgeport, CA 93517 2006-03-16
1497735435 Chris Joas General Practice Bldg 3005, Sr 108, Dewert Branch Health Clinic, Mcmwtc, Bridgeport, CA 93517 2006-01-17
Find all providers in zip 93517

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568567816 Naval Hospital Twentynine Palms Military/U.S. Coast Guard Pharmacy Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 2006-09-13
1912394727 Naval Hospital Twentynine Palms Military/U.S. Coast Guard Pharmacy Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 2015-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952765125 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 135 Santa Margarita Rd, Camp Pendelton, CA 92055 2016-04-13
1821485152 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 2015-04-24
1275948143 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 2014-06-30
1265846323 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 34800 Bob Wilson Dr Ste 3, San Diego, CA 92134-1003 2014-06-17
1285048348 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 2014-06-17
1205249042 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 2014-06-10
1275946444 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Regiment, 16th Street, Camp Pendelton, CA 92055 2014-06-05
1366855538 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 2014-06-05
1841603248 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Branch Medical Clinic Naf, Bldg 23, El Centro, CA 92055 2014-06-04
1043622681 David S Grant Medical Center Military/U.S. Coast Guard Pharmacy 461 Skymaster Cir Rm 149, Travis Afb, CA 94535-1909 2014-06-02
Find all providers with the same taxonomy

Competitor

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City BRIDGEPORT
Zip Code 93517

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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