BRANCH MEDICAL CLINIC ANDREWS


Address: 1 San Diego Loop, Bldg 3282, Andrews Afb, MD 20762-5518
Phone: 2408572865

BRANCH MEDICAL CLINIC ANDREWS (NPI# 1487850541) 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) 1487850541
Entity Type Organization
Organization Name BRANCH MEDICAL CLINIC ANDREWS
Practice Address 1 San Diego Loop
Bldg 3282
Andrews Afb
MD 20762-5518
Practice Telephone 2408572865
Enumeration Date 2007-06-26
Last Update Date 2017-12-19
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 PATUXENT RIVER

Taxonomy

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

Office Location

Street Address 1 SAN DIEGO LOOP
BLDG 3282
City ANDREWS AFB
State MD
Zip Code 20762-5518

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982210423 Kevin Wang Dentist 1057 W Perimeter Rd, Prince County, MD 20762 2020-09-21
1306467667 Priscilla Andalia Student in an Organized Health Care Education/Training Program 1065 W. Perimeter Road, Jb Andrews, MD 20762 2020-04-28
1275162877 Gabi Im Dentist 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 2020-04-06
1083240139 Shirley Ye Student in an Organized Health Care Education/Training Program 1025 Boston Rd, Joint Base Andrews, MD 20762 2020-03-20
1255988853 Songxuan Zhou Niemtzow Acupuncturist Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 2019-08-20
1487010971 Tracy Ellen Ambos Social Worker 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 2016-01-13
1154718450 Ryan Mason Kring Emergency Medicine Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 2015-04-24
1518206044 Jeremy Gallman Veterinarian 1781 Arnold Ave., Joint Base Andrews, MD 20762 2013-02-04
1043556418 Kimberly Mccoy-singh Physical Therapist 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 2012-12-12
1417215799 Alexander Rostam Kheradi Emergency Medicine 1050 West Perimeter Road, Joint Base Andrews, MD 20762 2012-04-24
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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy 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.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215994660 Malcolm Grow Medical Center Clinic/Center 1050 W Perimeter Rd, Mdss Sgsr, Andrews Afb, MD 20762-6600 2006-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841498417 Branch Medical Clinic Indian Head Clinic/Center 4141 W Wilson Rd, Suite105, Indian Head, MD 20640-5162 2007-07-05
1033315080 Branch Medical Clinic Bancroft Hall Clinic/Center 121 Blake Rd, Annapolis, MD 21402-1300 2007-06-26
1063959450 Uscg Clinic Baltimore Clinic/Center 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 2017-01-24
1043668775 Logistics Health Incorporated Clinic/Center 4201 Northview Dr Ste 410, Bowie, MD 20716-2668 2016-06-03
1811228422 Us Coast Guard Clinic/Center 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 2010-01-21
1851622401 Us Coast Guard Yard - Hswl Clinic Clinic/Center 2401 Hawkins Point Rd, Bldg 28b, Baltimore, MD 21226 2010-01-21
1316142607 Kimbrough Acc Military Mtf Clinic/Center 1434 Porter St, Usadc, Fort Detrick, MD 21702-9210 2007-06-18
1093910374 Kimbrough Acc Military Mtf Clinic/Center 4110 Austin Road, Aberdeen Proving Ground, MD 21010 2007-06-18
1689879926 Kimbrough Acc Military Mtf Clinic/Center 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 2007-06-18
1124223797 Kimbrough Acc Military Mtf Clinic/Center 8472 Simmond St, Fort Meade, MD 20755-5700 2007-06-15
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Competitor

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City ANDREWS AFB
Zip Code 20762

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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