Active NPI
BHC Camp Blaz-Guam
- Military/U.S. Coast Guard Outpatient Clinic/Center
National Provider Identifier
1235081944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Legal business name
- BHC CAMP BLAZ-GUAM
- Practice address
- PSC 455 Box 208
Fpo, AP 96540-0003 - Phone
- (671) 344-9202
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Organization subpart
- Yes
- Parent organization
- NH GUAM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Michael Condon
- Title
- Dha Ubo
- Phone
- (240) 401-3643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Primary |
Addresses
Primary practice location
PSC 455 Box 208
Fpo, AP 96540-0003
Mailing address
PSC 455
Fpo, AP 96540
National Provider Directory
National Provider Directory- Tax ID family
- NH Guam
- Part of
- NH Guam
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Santa Rita, GU
- NPI 1770789331
-
dba Dod Naval Hospital Guam Pharmacy
- Military/U.S. Coast Guard Pharmacy
- Agana Heights, GU
- NPI 1194137711
-
- Military/U.S. Coast Guard Pharmacy
- Agana Heights, GU
- NPI 1558214809
-
- Military General Acute Care Hospital
- Agana Heights, GU
- NPI 1639127509
-
- Military/U.S. Coast Guard Pharmacy
- Santa Rita, GU
- NPI 1679672620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Family Medicine) Physician
- NPI 1508243197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1235081944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 455",
"city": "FPO",
"state": "AP",
"postal_code": "96540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 455 BOX 208",
"city": "FPO",
"state": "AP",
"postal_code": "965400003",
"telephone_number": "671-344-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHC CAMP BLAZ-GUAM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NH GUAM",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "CONDON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DHA UBO",
"authorized_official_telephone_number": "240-401-3643"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.