BRANCH MEDICAL CLINIC PANAMA CITY (NPI# 1114117173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114117173 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC PANAMA CITY |
| Practice Address |
6703 W Highway 98 Panama City FL 32407-7000 |
| Mailing Address |
6000 W Highway 98 Pensacola FL 32512-0001 |
| Practice Telephone | 8502344177 |
| Mailing Telephone | 8505056309 |
| Mailing Fax Number | 8505056908 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL PENSACOLA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
6703 W HIGHWAY 98 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32407-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114942513 | Brenda Sue Warren | Dietitian, Registered | 6703 W Highway 98, Bldg 387, Panama City, FL 32407-7000 | 2006-07-13 |
| 1821195678 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 6703 W Highway 98, Bldg 148 Ste 148a, Panama City, FL 32407-7030 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| Find all providers in zip 32407 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326553280 | Branch Medical Clinic Mayport | Clinic/Center | 2130 Mayport Rd, Jacksonville, FL 32233-2753 | 2017-12-13 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
| 1558907873 | Uscg Clinic St Petersburg | Clinic/Center | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2019-11-21 |
| 1053826917 | Branch Medical Clinic Key West | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2017-12-13 |
| 1104331065 | Branch Medical Clinic Jacksonville | Clinic/Center | 964 Ajax St, Jacksonville, FL 32214-0001 | 2017-12-13 |
| 1760928923 | Uscg Clinic Air Station Miami | Clinic/Center | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2017-01-12 |
| 1710206727 | Uscg Key West Clinic | Clinic/Center | 100 Trumbo Rd, Key West, FL 33040-6655 | 2010-06-01 |
| 1164679601 | Martin Army Community Hospital | Clinic/Center | 6069 Walkers Ln, Tmc 12 Camp Rudder, Eglin Afb, FL 32542-8505 | 2008-08-27 |
| 1376733527 | Branch Medical Clinic Nattc | Clinic/Center | 760 East Ave, Pensacola, FL 32508-5140 | 2007-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32407 |
Please comment or provide details below to improve the information on BRANCH MEDICAL CLINIC PANAMA CITY.
| 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.