BRANCH MEDICAL CLINIC NTTC PENSACOLA (NPI# 1922208487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922208487 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC NTTC PENSACOLA |
| Practice Address |
765 6th St Pensacola FL 32511-5119 |
| Mailing Address |
6000 W Highway 98 Pensacola FL 32512-0001 |
| Practice Telephone | 8504526326 |
| Mailing Telephone | 8505056309 |
| Mailing Fax Number | 8505056908 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2017-11-14 |
| 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 |
765 6TH ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32511-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538149166 | Leonard William Simmons | Physician Assistant | 765 6th St, Pensacola, FL 32511-5119 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902246200 | Amikids Escambia Boy's Base | Community/Behavioral Health | Corry Station Corry Fld Bldg 3780, Pensacola, FL 32511-0001 | 2013-07-01 |
| 1194822940 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 765 6th St Bldg 535, Pensacola, FL 32511-5140 | 2006-09-20 |
| 1396714002 | Lee Ronso | Counselor | 640 Roberts Ave, Corry Station Bldg 3776, Pensacola, FL 32511-5155 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1174122485 | Sharla Calloway | Social Worker | 101 E Romana St, Pensacola, FL 32502-5689 | 2020-10-19 |
| 1255930665 | Sarah Marie Tran | Registered Nurse | 1600 Governors Dr Apt 1428, Pensacola, FL 32514-9446 | 2020-10-19 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1295333227 | Allen Enterprises and Investments | Behavioral Analyst | 7689 Burnside Loop, Pensacola, FL 32526-9182 | 2020-10-12 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| Find all providers in PENSACOLA | ||||
| 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 |
|---|---|---|---|---|
| 1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
| 1376733527 | Branch Medical Clinic Nattc | Clinic/Center | 760 East Ave, Pensacola, FL 32508-5140 | 2007-07-25 |
| 1952501488 | Branch Medical Clinic Nas Pensacola | Clinic/Center | 450 Turner St, Pensacola, FL 32508-5211 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326553280 | Branch Medical Clinic Mayport | Clinic/Center | 2130 Mayport Rd, Jacksonville, FL 32233-2753 | 2017-12-13 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1558907873 | Uscg Clinic St Petersburg | Clinic/Center | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2019-11-21 |
| 1053826917 | Branch Medical Clinic Key West | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2017-12-13 |
| 1104331065 | Branch Medical Clinic Jacksonville | Clinic/Center | 964 Ajax St, Jacksonville, FL 32214-0001 | 2017-12-13 |
| 1760928923 | Uscg Clinic Air Station Miami | Clinic/Center | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2017-01-12 |
| 1710206727 | Uscg Key West Clinic | Clinic/Center | 100 Trumbo Rd, Key West, FL 33040-6655 | 2010-06-01 |
| 1164679601 | Martin Army Community Hospital | Clinic/Center | 6069 Walkers Ln, Tmc 12 Camp Rudder, Eglin Afb, FL 32542-8505 | 2008-08-27 |
| 1114117173 | Branch Medical Clinic Panama City | Clinic/Center | 6703 W Highway 98, Panama City, FL 32407-7000 | 2007-07-26 |
| 1265632616 | Branch Medical Clinic Whiting Field | Clinic/Center | 7119 Langley St, Milton, FL 32570-6105 | 2007-07-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRANCH MEDICAL CLINIC NTTC PENSACOLA.
| 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.