United States Navy

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

UNITED STATES NAVY

Practice address

PSC Box 20098
HQ and Service Co, 1St BN, 6TH Marine Regt, 2D Mardiv
Camp Lejeune, NC 28542-0098

Phone

(910) 450-5150

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

David Varney

Title

Division Surgeon/Medical Planner

Phone

(910) 451-8282

Specialties & licenses 1

Addresses

Tax ID family

Uss Pasadenassn75263 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• 2D Recon BN

  • Independent Duty Corpsman
  • Camp Lejeune, NC
  • NPI 1902179898
  NPD tax ID

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1235508557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 20098",
            "address_2": "HQ AND SERVICE CO 1ST BN, 6TH MARINE REGT, 2D MARDIV",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSC BOX 20098",
            "address_2": "HQ AND SERVICE CO, 1ST BN, 6TH MARINE REGT, 2D MARDIV",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420098",
            "telephone_number": "910-450-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIVISION SURGEON/MEDICAL PLANNER",
        "authorized_official_telephone_number": "910-451-8282"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Tyger
• Timothy Tyler, LCSW
• U.S. Marine Corps Forces Command
• Lisa Lynn Ubongen
• Mary Catherine Ucciardi, RD
• Robert Keith Upton III, MD
• Sarah Catherine Vadella, DMD
• Rachel Loretta Valdes, RN
• Alexander Winston Van Woert
• Katrina Lynn Vance, DENTAL HYGIENIST

• Military/U.S. Coast Guard Outpatient Clinic/Center in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.