BRANCH MEDICAL CLINIC EVERETT (NPI# 1316140858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316140858 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC EVERETT |
| Practice Address |
2000 W Marine View Dr Bldg 2010 Everett WA 98207 |
| Mailing Address |
1 Boone Rd Code 08razd Bremerton WA 98312-1894 |
| Practice Telephone | 4253044060 |
| Practice Fax Number | 4253044046 |
| Mailing Telephone | 3604754160 |
| Mailing Fax Number | 3604754676 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | WILLIAM M CONDON (BUMED EBO MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL BREMERTON |
| 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 |
2000 W MARINE VIEW DR BLDG 2010 |
| City | EVERETT |
| State | WA |
| Zip Code | 98207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600209 | Scott David Weber | Family Medicine | 2000 W Marine View Dr, Bldg 2010, Everett, WA 98207-0001 | 2005-09-22 |
| 1003337593 | Courtney Rafferty | Optometrist | 2000 W Marine View Dr, Everett, WA 98207-1098 | 2017-07-05 |
| 1801221973 | Jeffrey Edwin Osborn | Physician Assistant | 2000 W Marine View Dr, Building 2010, Everett, WA 98207-0001 | 2013-09-09 |
| 1598005761 | Anne M Jacobs | Pharmacist | 2000 W Marine View Dr, Everett, WA 98207-0001 | 2013-02-25 |
| 1689933210 | Nicolas Shane Gomez | Military Health Care Provider | 2000 W Marine View Dr, Bldg 2202 Psns/imf Dive Locker - Medical, Everett, WA 98207-0001 | 2012-05-16 |
| 1053630202 | Joseph Richard Dronchi | Personal Emergency Response Attendant | 2000 W Marine View Dr, Bldg 2134, Everett, WA 98207-0001 | 2010-05-27 |
| 1164754974 | Raymond Alan Golden | Personal Emergency Response Attendant | 2000 W Marine View Dr, Bldg 2134, Everett, WA 98207-0001 | 2010-02-03 |
| 1649408949 | Casey Grisham | Personal Emergency Response Attendant | 2000 W Marine View Dr, Bldg 2134, Everett, WA 98207-0001 | 2009-06-24 |
| 1740452713 | Katie Marie Wilkins | Licensed Practical Nurse | 2000 W Marine View Dr, Bldg 2134, Everett, WA 98207-0002 | 2008-03-29 |
| 1306044268 | Armando Garza | Military Health Care Provider | 2000 W Marine View Dr, Everett, WA 98207-0001 | 2007-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710557 | Randle Scott Groves | Military Health Care Provider | Psns&imf Det Everett, 2000 West Marine Drive, Bldg 2202, Everett, WA 98207 | 2017-06-14 |
| 1225250616 | Peter Cowley | Dentist | 2000 West Marine View Drive, Building 2010, Everett, WA 98207 | 2007-05-03 |
| 1154491132 | Gary Matthew Virdell | Military Health Care Provider | Naval Health Clinic, Naval Station Everett, Bldg 2110, Everett, WA 98207 | 2006-11-08 |
| 1780787648 | Thomas W Greisamer | Psychiatry & Neurology | 2000 W. Marine View, Building 2010, Branch Health Clinic Evertt, Everett, WA 98207 | 2006-09-06 |
| 1134674500 | Rayna Herren | Psychologist | 2000 West Marine View Drive, Everett, WA 98207 | 2016-08-16 |
| 1083090773 | Anthony Michael Belekanich | Optometrist | Naval Branch Health Clinic Everett, 2000 West Marine View Drive, Everett, WA 98207-0001 | 2015-08-04 |
| 1013233782 | Scott A Yount | Radiologic Technologist | Msron Nine 2000 W Marine View Dr, Everett, WA 98207-0001 | 2010-04-20 |
| 1659514859 | Maritime Expeditionary Security Squadron Nine | Military Hospital | 2000 W Marine View Dr Bldg 2134, Everett, WA 98207-0001 | 2009-04-17 |
| 1487723532 | Karl Frederic Matous | Military Health Care Provider | Msron 9 Naval Station Everett, 2000 Marine View Drive Building 2134, Everett, WA 98207-0001 | 2006-11-06 |
| 1831161678 | William James Depender | Family Medicine | Bmc Everett, 2000 W Marine View Dr, Everett, WA 98207-0001 | 2006-02-06 |
| Find all providers in zip 98207 | ||||
| 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 |
|---|---|---|---|---|
| 1770975583 | Madigan Army Medical Ctr | Clinic/Center | Railroad Ave Bldg R3749, Tacoma, WA 98431-0001 | 2015-03-03 |
| 1376974303 | Madigan Army Medical Ctr | Clinic/Center | 3 Rd Division Dr Bldg R3150, Tacoma, WA 98431-0001 | 2013-12-02 |
| 1588094213 | Madigan Army Medical Ctr | Clinic/Center | C St Bldg R1880, Tacoma, WA 98431-0001 | 2013-11-15 |
| 1043640774 | Madigan Army Medical Ctr | Clinic/Center | Railroad Ave Bldg R3742, Tacoma, WA 98431-0001 | 2013-11-15 |
| 1750719761 | Madigan Army Medical Ctr | Clinic/Center | 5 Th St Bldg 9025, Tacoma, WA 98431-0001 | 2013-10-30 |
| 1801152723 | Madigan Army Medical Ctr | Clinic/Center | 13815 8th St, Joint Base Lewis Mcchord, WA 98431-0001 | 2012-04-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1881907822 | Madigan Army Medical Ctr | Clinic/Center | 3415 Pacific Ave Se, Suite D1, Olympia, WA 98501-2173 | 2010-07-20 |
| 1497952667 | Madigan Army Medical Ctr | Clinic/Center | Building R3125, Bennett Avenue, Fort Lewis, WA 98433 | 2007-06-29 |
| 1992902571 | Madigan Army Medical Ctr | Clinic/Center | Dc#2 Building 3740p, Fort Lewis, WA 98433 | 2007-06-28 |
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| 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.