NPIMap

Organization Active NPI

Branch Medical Clinic Meridian

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Meridian, MS
National Provider Identifier
1609076033
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC MERIDIAN
Practice address
1801 Fuller Rd
Meridian, MS 39309-5106
Phone
(850) 505-6157
NPI assigned
Jul 24, 2007
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL PENSACOLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1801 Fuller Rd
Meridian, MS 39309-5106

Mailing address

6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6157

National Provider Directory

National Provider Directory
Tax ID family
NHC Pensacola25 organizations share this tax ID, including this one
Part of
NHC Pensacola

Other organizations with this tax ID 24

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

View all 24

Locations

1801 Fuller Rd
Meridian, MS 39309
Phone (601) 679-2633

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1609076033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6157",
            "fax_number": "850-505-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106",
            "telephone_number": "850-505-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC MERIDIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL PENSACOLA",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DHA FINANCIAL MANAGER",
        "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": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.