NPIMap

Organization Active NPI

Branch Medical Clinic Saratoga Springs

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Saratoga Springs, NY
National Provider Identifier
1750578977
Registry record updated Nov 17, 2017
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 SARATOGA SPRINGS
Practice address
1 West Ave Ste 2
Saratoga Springs, NY 12866-6045
Phone
(518) 583-5300
Fax
(518) 583-7990
NPI assigned
Oct 2, 2007
Last updated
Nov 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC NEW ENGLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

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

Addresses

Primary practice location

1 West Ave Ste 2
Saratoga Springs, NY 12866-6045

Mailing address

1 West Ave, Suite 2
Saratoga Springs, NY 12866
Phone (518) 583-5300

National Provider Directory

National Provider Directory
Tax ID family
Naval Health Clinic New England10 organizations share this tax ID, including this one
Part of
Naval Health Clinic New England

Other organizations with this tax ID 9

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

Locations

1 West Ave
Ste 2
Saratoga Springs, NY 12866
Phone (518) 583-5300

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1750578977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST AVE, SUITE 2",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-583-5300",
            "fax_number": "518-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE STE 2",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666045",
            "telephone_number": "518-583-5300",
            "fax_number": "518-583-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC SARATOGA SPRINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC NEW ENGLAND",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED 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": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.