BRANCH MEDICAL CLINIC PORTSMOUTH (NPI# 1275581415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275581415 |
Entity Type | Organization |
Organization Name | BRANCH MEDICAL CLINIC PORTSMOUTH |
Practice Address |
1 Ayers Circle Bldg. H-1 Portsmouth Naval Shipyard Portsmouth NH 03804-5000 |
Practice Telephone | 2074381959 |
Practice Fax Number | 2074383860 |
Mailing Telephone | 2074381959 |
Mailing Fax Number | 2074383860 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2017-11-17 |
Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
Authorized Official Telephone | 2404013643 |
Is Organization Subpart | Y |
Parent Organization Name | NAVAL HEALTH CLINIC NEW ENGLAND |
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 |
1 AYERS CIRCLE BLDG. H-1 PORTSMOUTH NAVAL SHIPYARD |
City | PORTSMOUTH |
State | NH |
Zip Code | 03804-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558658757 | Gary James Sweet | Military Health Care Provider | 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 | 2011-07-08 |
1750607164 | Janie James Gendron | Social Worker | Bldg. 241, Portsmouth Naval Shipyard, Portsmouth, NH 03804 | 2010-04-09 |
1104926203 | Christopher Paul Scott | Military Health Care Provider | 100 John Paul Jones Drive, C/o Portsmouth Naval Shipyard, Bldg 171, Portsmouth, NH 03804 | 2006-09-25 |
1396706677 | Kevin Newell Keenan | Preventive Medicine | 1 Ayres Circle, Naval Branch Health Clinic Building H-1, Portsmouth, NH 03804 | 2006-03-28 |
1295238772 | Megan Ann Caltagirone | Nurse Practitioner | 1 Ayres Circle, Portsmouth, NH 03804 | 2018-03-12 |
1376063859 | Daryl Vista Lumagui | Military Health Care Provider | 1 Ayres Circle, Bldg. H-1, Pnsy, Portsmouth, NH 03804 | 2017-06-26 |
1396984381 | Christine A Karcher-birt | Registered Nurse | 1 Ayres Circle, Naval Branch Health Clinic, Portsmouth, NH 03804 | 2009-02-13 |
1760605521 | Debra Forzese | Pharmacist | Naval Branch Health Clinic, 1 Ayres Circle, Portsmouth, NH 03804 | 2007-04-10 |
1982613048 | Jan Vanderlinde | Emergency Medicine | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804 | 2006-08-07 |
1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
Find all providers in zip 03804 |
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 |
---|---|---|---|---|
1821135658 | Branch Medical Clinic Naval Shipyard Norfolk | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-31 |
1881730265 | Branch Medical Clinic Yorktown | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-30 |
1629114004 | Branch Medical Clinic Oceana | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-30 |
1407992894 | Branch Medical Clinic Sewells Point | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-30 |
1861538258 | Tricare Medical Clinic Chesapeake | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-30 |
1558407734 | Branch Medical Clinic Little Creek | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-29 |
1518003797 | Tricare Medical Clinic Virginia Beach | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-29 |
1528104494 | Branch Medical Clinic Chesapeake | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-29 |
1740326545 | Branch Medical Clinic Dam Neck | Clinic/Center | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-01-29 |
1417007790 | Isc Portsmouth Health Services Division Uscg | Clinic/Center | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2199 | 2007-01-11 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 03804 |
Please comment or provide details below to improve the information on BRANCH MEDICAL CLINIC PORTSMOUTH.
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.