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Branch Medical Clinic Gulfport

Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Gulfport, MS

NPI 1275733644 · NPPES record last updated Mar 10, 2022

Key facts

NPI
1275733644
Entity type
Organization (NPI type 2)
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC GULFPORT
Practice address
5502 Marvin Shields Blvd
Gulfport, MS 39501
Phone
(850) 505-6157
Fax
(228) 871-3648
NPI assigned
Jul 23, 2007
Organization subpart
Yes
Parent organization (as reported)
NAVAL HOSPITAL PENSACOLA

Authorized official

Name
William M Condon
Title
Dha Financial Manager
Phone
(240) 401-3643

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Branch Medical Clinic Panama City (25 organizations share this tax ID)
Part of
Branch Medical Clinic Panama City

Locations

6000 W Highway 98
#8
Pensacola, FL 32512

5501 Marvin Shields Blvd
Gulfport, MS 39501
Phone (228) 871-4033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Yes

Addresses

Primary practice location

5502 Marvin Shields Blvd
Gulfport, MS 39501

Mailing address

6000 W Hwy 98 Code 08Ra
Pensacola, FL 32512-0001
Phone (850) 505-6157

Other providers in Gulfport, MS

All providers in Gulfport, MS · Military/U.S. Coast Guard Outpatient Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.