NPIMap

Organization Active NPI

Alexander T Augusta Med Ctr-Ft Belvoir

Doing business as Dilorenzo Tricare Health Clinic

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Washington, DC
National Provider Identifier
1720292501
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
Doing business as
Dilorenzo Tricare Health Clinic
Practice address
The Pentagon
Washington, DC 20310-5600
Phone
(301) 295-4934
NPI assigned
May 10, 2007
Organization subpart
Yes
Parent organization
ALEXANDER T AUGUSTA MED CTR-FT BELVOIRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary
Military/U.S. Coast Guard Pharmacy 332000000X

Addresses

Primary practice location

The Pentagon
Washington, DC 20310-5600

Mailing address

8901 Wisconsin Ave
PSC Box 509 Code 6300
Bethesda, MD 20889-5600

Other identifiers 3

IdentifierTypeStateIssuer
1063441905OtherPARENT FACILITY NPI UNTIL 30 AUG 2011
1639130222OtherPARENT FACILITY NPI EFFECTIVE 1 SEP 2011
0904119OtherPHARMACY NCPDP

Other names 1

  • DILORENZO TRICARE HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walter Reed National Military Med Center6 organizations share this tax ID, including this one
Part of
Walter Reed National Military Medical Center

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1720292501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "PSC BOX 509 CODE 6300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE PENTAGON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203105600",
            "telephone_number": "301-295-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER T AUGUSTA MED CTR-FT BELVOIR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER T AUGUSTA MED CTR-FT BELVOIR",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "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
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI UNTIL 30 AUG 2011",
            "identifier": "1063441905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI EFFECTIVE 1 SEP 2011",
            "identifier": "1639130222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP",
            "identifier": "0904119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILORENZO TRICARE HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.