BRANCH MEDICAL CLINIC CRANE (NPI# 1952584765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952584765 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC CRANE |
| Practice Address |
300 Highway 361 Bldg 2516 Crane IN 47522-4000 |
| Mailing Address |
6000 W Highway 98 Pensacola FL 32512-0001 |
| Practice Telephone | 8128544319 |
| Mailing Telephone | 8505056309 |
| Mailing Fax Number | 8505056908 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2017-11-13 |
| 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 |
300 HIGHWAY 361 BLDG 2516 |
| City | CRANE |
| State | IN |
| Zip Code | 47522-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750630117 | Michael Fitch | Preventive Medicine | 300 Highway 361, Bldg 2516 / Medical, Crane, IN 47522-4000 | 2012-08-31 |
| 1578730727 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 300 Highway 361, Bldg 2516, Crane, IN 47522-4000 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1386652485 | Christopher David Smelser | Preventive Medicine | 300 Highway 361 Bldg 2516, Crane, IN 47522-4000 | 2006-08-04 |
| 1588012553 | Matthew Michael Justus | General Practice | 300 Highway 361 Bldg 2516, Crane, IN 47522-4000 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794102 | Sylvia Sena | Registered Nurse | 300 S Virginia St, Crane, TX 79731-2414 | 2020-03-04 |
| 1851925606 | Billie Jo Green | Counselor | 891 Secret Valley Rd, Crane, MO 65633-7200 | 2020-03-02 |
| 1801368147 | David Quintana Bernard | Registered Nurse | 210 Burleson Rd, Crane, TX 79731-4826 | 2018-12-27 |
| 1831660299 | Paula Lee Leonard | Homemaker | 214 Old Stillhouse Hollow Rd, Crane, MO 65633-7237 | 2018-12-11 |
| 1124503354 | Wee Care Dental Pa | Dentist | 1103 W 6th Street, Crane, TX 79731 | 2018-10-03 |
| 1770066599 | Danielle Wolf | Registered Nurse | 1806 Castle Gap St, Crane, TX 79731-4408 | 2018-09-07 |
| 1528443520 | Shonna Bangeman | Case Manager/Care Coordinator | 1112 S Vivian St, Crane, TX 79731-3719 | 2015-07-21 |
| 1891198032 | Sarah Woodward | Speech-Language Pathologist | 24552 Farm Road 2012, Crane, MO 65633-7600 | 2014-10-02 |
| 1689084840 | Mcculloch County Hospital District | Skilled Nursing Facility | 699 W Campus Dr, Crane, TX 79731-2402 | 2014-04-28 |
| 1073838348 | Bradley Jason Deans | Contractor | 302 Christiana St, Crane, MO 65633-9107 | 2010-03-30 |
| Find all providers in CRANE | ||||
| 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 |
|---|---|---|---|---|
| 1316142631 | Ireland Army Community Hospital | Clinic/Center | Bldg 2 Evans Road, Camp Atterbury, IN 46124 | 2007-06-18 |
| 1740496124 | Ireland Army Community Hospital | Clinic/Center | Bldg 2 Evans Rd, Camp Atterbury, IN 46124 | 2007-05-15 |
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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.