NHC Quantico Virginia

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NHC QUANTICO VIRGINIA

Practice address

3259 Catlin Ave
Quantico, VA 22134-5109

Phone

(703) 784-2062

NPI assigned

Jan 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jake Grefaldon Carandang

Title

Independent Duty Corpsman

Phone

(703) 784-2062

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1063658409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345109",
            "telephone_number": "703-784-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC QUANTICO VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "CARANDANG",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "GREFALDON",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "703-784-2062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Nautel
• Hoai Tien Nguyen, BS
• Tuyet Thi Nguyen
• NHC Quantico
• NHC Quantico
• Jessica Renee Norris, DMD
• Andrew Obara, MD
• Kathy Olson
• Russell J. Olson, M. D.
• Judy Palmer, PA-C

• Health Service Clinic/Center in Quantico, VA
• Providers in Quantico, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.