NAVAL HEALTH CLINIC QUANTICO (NPI# 1922105774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922105774 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC QUANTICO |
| Practice Address |
901 M St Se Bldg 183 Washington DC 20374-0001 |
| Practice Telephone | 2024336808 |
| Practice Fax Number | 2024332205 |
| Mailing Telephone | 2024336808 |
| Mailing Fax Number | 2024332205 |
| Enumeration Date | 2006-09-20 |
| 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 QUANTICO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2005910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492093 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Branch Health Clinic Wny, 915 N Street S.e Bldg 175, Washington, DC 20374-5022 | 2014-06-16 |
| 1194824227 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Nmc 2200 Lester Avenue, Quantico, VA 22134 | 2006-09-22 |
| 1780783811 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Quantico Nmc Attn: Third Party Billing, 3259 Catlin Ave, Quantico, VA 22134 | 2006-09-22 |
| 1528473774 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2014-06-26 |
| 1508839903 | Naval Health Clinic Quantico | Clinic/Center | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2006-02-08 |
| Street Address |
901 M ST SE BLDG 183 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20374-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548437262 | Wesley Delaine Thomas | Dentist | 915 N Street Se, Bldg 175, 2nd Floor, Washington, DC 20374 | 2008-05-12 |
| 1164575718 | Deborah Marie Holmes | Physical Therapist | 6309 Baltimore Ave, 301, Riverdale, MD 20374 | 2007-01-18 |
| 1285628263 | Wanda Dixon | Dental Hygienist | 166 Buchanan St Se, Washington, DC 20374 | 2005-09-07 |
| 1386638096 | Jonathan Lee Haun | Dentist | 901 M St Se, Bldg #166, Branch Dental Clinic, Wny, Washington, DC 20374-0001 | 2005-09-08 |
| 1376536755 | Francisco Rene Leal | Dentist | 1016 Buchanan St Se, Branch Health Clinic, Washington Navy Yard, Washington Navy Yard, DC 20374-5020 | 2005-08-31 |
| 1942306402 | Philip J Vargas | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2006-09-15 |
| 1366422826 | Reva B Press | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2006-01-20 |
| 1932190329 | Robert Jeffrey Caldwell | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2005-11-03 |
| 1134113764 | Deborah Kay Johnson | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2005-09-09 |
| 1811981426 | Thu Phan Getka | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2005-09-09 |
| Find all providers in zip 20374 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492093 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Branch Health Clinic Wny, 915 N Street S.e Bldg 175, Washington, DC 20374-5022 | 2014-06-16 |
| 1689888455 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 103 3rd Ave, Building 58, Washington, DC 20319-5058 | 2007-05-10 |
| 1649379363 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bldg 2 Rm 7817, Washington, DC 20012 | 2006-09-21 |
| 1558460279 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 1po2 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1730288457 | Wramc | Military/U.S. Coast Guard Pharmacy | Rm 7817 Bldg 2, Washington, DC 20307-0001 | 2006-09-21 |
| 1487751236 | Us Capital Phcy | Military/U.S. Coast Guard Pharmacy | Us Capital # H166, Washington, DC 20515-0001 | 2006-09-20 |
| 1013014869 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 1760 Usaf Pentagon, Washington, DC 20330-0001 | 2006-09-20 |
| 1104923952 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2006-09-20 |
| 1831296680 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 400 7th St Sw Rm 6227, Washington, DC 20024-2585 | 2006-09-20 |
| 1861806697 | National Naval Medical Center | Military/U.S. Coast Guard Pharmacy | 1501 Defense Pentagon, Washington, DC 20310-0001 | 2014-06-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20374 |
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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.