BRANCH MEDICAL CLINIC BELLE CHASSE (NPI# 1629278064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629278064 |
Entity Type | Organization |
Organization Name | BRANCH MEDICAL CLINIC BELLE CHASSE |
Practice Address |
400 Russell Ave Bldg 41 New Orleans LA 70143-5077 |
Mailing Address |
6000 W Highway 98 Pensacola FL 32512-0001 |
Practice Telephone | 5046783679 |
Practice Fax Number | 5046783670 |
Mailing Telephone | 8505056309 |
Mailing Fax Number | 8505056908 |
Enumeration Date | 2007-07-24 |
Last Update Date | 2017-11-06 |
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 |
400 RUSSELL AVE BLDG 41 |
City | NEW ORLEANS |
State | LA |
Zip Code | 70143-5077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942270061 | Ronald Dailey | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
1497167092 | David Hill | General Practice | 400 Russell Ave, New Orleans, LA 70143-5077 | 2014-05-30 |
1881664910 | Wendell Reese Bates | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972917995 | Shawn Michael Myers | Family Medicine | Nas/jrb New Orleans, Building 41, 400 Russell Drive, Belle Chasse, LA 70143 | 2014-06-18 |
1356650584 | Emily Young Ibert | Psychologist | Nas Jrb Bldg 555, 400 Russell Avenue, New Orleans, LA 70143-0001 | 2010-10-05 |
1972655637 | Dwayne Perrilliat | Physical Therapist | 400 Russell Ave Bldg 41, New Orleans, LA 70143-1098 | 2007-01-16 |
1366648776 | Robert Benjamin Smith | General Practice | 400 Russell Ave Bldg 556, New Orleans, LA 70143-1356 | 2007-06-22 |
1548232648 | Craig Marcello | Dentist | 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 | 2006-02-02 |
1093128282 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 | 2014-06-05 |
1801993654 | Naval Hospital Pensacola | Pharmacy | 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 | 2006-09-20 |
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 |
---|---|---|---|---|
1053598557 | Coast Guard Isc Nola | Clinic/Center | 1790 Saturn Road, New Orleans, LA 70129-2218 | 2008-01-28 |
1780742049 | Base New Orleans Clinic | Clinic/Center | 1790 Saturn St, Uscg Base Nola Medical Clinic, New Orleans, LA 70129-2270 | 2006-12-05 |
1538123435 | Naval Ambulatory Care Center | Clinic/Center | 2300 General Meyer Ave., Bldg H100, New Orleans, LA 70142-0001 | 2006-04-17 |
1396046462 | Hswl Neworleans | Clinic/Center | 1790 Saturn St, New Orleans, LA 70129-2270 | 2010-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093129124 | Bayne-jones Army Community Hospital | Clinic/Center | 2040 Dragoon Loop, Bldg 1170, Fort Polk, LA 71459-5242 | 2014-06-17 |
1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
1578891222 | Bayne-jones Army Community Hospital | Clinic/Center | 8097 Georgia Ave, Bldg 3507, Ft Polk, LA 71459 | 2009-11-18 |
1619172905 | Bayne-jones Army Community Hospital | Clinic/Center | 1561 Mississippi Street, Fort Polk, LA 71459 | 2007-06-18 |
1841547650 | Bayne-jones Army Community Hospital | Clinic/Center | 8091 Georgia Ave, Bld 3504 Ctmc, Fort Polk, LA 71459-5468 | 2012-08-10 |
1609024504 | Bayne-jones Army Community Hospital | Clinic/Center | 1585 3rd St, Chesser Dental Clinic, Fort Polk, LA 71459-5102 | 2008-09-04 |
1811192461 | Bayne-jones Army Community Hospital | Clinic/Center | 1585 3rd St, Building 285, Fort Polk, LA 71459-5102 | 2007-06-15 |
City | NEW ORLEANS |
Zip Code | 70143 |
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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.