BRANCH HEALTH CLINIC SOUDA BAY


Address: Psc 814, Box 19, Fpo, AE 09865
Phone: 0113909556

BRANCH HEALTH CLINIC SOUDA BAY (NPI# 1902091044) 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) 1902091044
Entity Type Organization
Organization Name BRANCH HEALTH CLINIC SOUDA BAY
Practice Address Psc 814
Box 19
Fpo
AE 09865
Mailing Address Psc 836
Box 2670
Fpo
AE 09636-9998
Practice Telephone 0113909556
Practice Fax Number 01139095563898
Enumeration Date 2007-09-12
Last Update Date 2017-10-25
Authorized Official Name WILLIAM M CONDON (BUMED UBO)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL HOSPITAL SIGONELLA

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 PSC 814
BOX 19
City FPO
State AE
Zip Code 09865

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083775613 Brent A Bushnell Military Health Care Provider Psc 814 Box 19, Fpo, AE 09865 2006-12-13
1659575512 Jeffrey C George Military Health Care Provider Psc 814 Box 19, Fpo, AP 09865 2007-06-13
1558565929 Kenneth Roy Mazer Military Health Care Provider Psc 814 Box 19, Fpo, AE 09865 2007-06-12
1174727549 Natalie Soto Military Health Care Provider Psc 814 Box 19, Fpo, AE 09865 2007-06-12
1104995331 Naval Hospital Sigonella Military/U.S. Coast Guard Pharmacy Chania Crete Greece, Psc 814, Fpo, AE 09865-0019 2006-11-06
1295988483 Kati Lynn Ivey Military Health Care Provider Psc 814 Box 19, Fpo, AE 09865-0019 2008-10-31

Providers in the same city

NPI Name Taxonomy Address Enumeration
1841899853 London Mingo Social Worker 2769 Yaka Kin Cho, Fpo, AP 96388-0071 2020-10-21
1538768833 James Blake Weldon Military Health Care Provider Unit 100517 Bx 1, Fpo, AP 09655 2020-10-19
1487260311 Doria Living Registered Nurse Ushno, Fpo, AP 96367 2020-09-16
1225643307 Brice Blahnik Dentist 1 St Dental Battalion/naval Dental Center Attn: Medical, Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221, Fpo, AA 92055-5221 2020-09-15
1609489061 Genesis Health Care Inc Home Health Uss Wasp Lhd1 Unit 100261, Fpo, AE 09514 2020-08-26
1669081857 Acacia L Elmer Registered Nurse Psc 808 Box 3104, Fpo, AE 09618-0032 2020-07-24
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1518581776 Taylor D Benson Audiologist Building 960, Floor 3, East Wing, Fpo, AP 96362-0017 2020-06-03
1740803279 Issa Khalil Military Health Care Provider Uss Donald Cook, Fpo, AE 09566 2020-05-19
1295360055 Kiran Kumar Gurung Dental Hygienist Uss Bataan (lhd-5), Fpo, AE 09554-1657 2020-03-11
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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
1811182959 Branch Medical Clinic Bahrain Clinic/Center Psc 851, Box 340, Fpo, AE 09834-0004 2007-09-12
1841483559 Branch Medical Clinic Chinhae Clinic/Center Psc 479, Fpo, AP 96269 2007-08-26
1023201886 Branch Medical Clinic Sasebo Clinic/Center Psc 475 Box 1 Code 081c, Fpo, AP 96351 2007-08-23
1447429667 Branch Medical Clinic Camp Fuji Clinic/Center Psc 475 Box 1 Code 081c, Fpo, AP 96351 2008-02-21
1194911511 Branch Medical Clinic Capodichino Clinic/Center Psc 808 Box 19, Fpo, AE 09618-0001 2007-09-19
1578756284 Branch Medical Clinic Diego Garcia Clinic/Center Psc 466 Box 3, Fpo, AP 96595 2007-08-26
1376734624 Branch Medical Clinic Sasebo Comfleact Clinic/Center Psc 476 Box 25, Fpo, AP 96322 2007-08-01
1639360985 Branch Medical Clinic Atsugi Clinic/Center Psc 477 Box 2, Fpo, AP 96303 2007-08-01
1528268844 Branch Medical Clinic Camp Bush Clinic/Center Psc 482, Uniform Business Office, Fpo, AP 96362 2007-07-24
1982804209 Branch Medical Clinic Camp Hansen Clinic/Center Psc 482, Uniform Business Office, Fpo, AP 96362 2007-07-24
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Competitor

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City FPO
Zip Code 09865

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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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