Branch Medical Clinic Guam

Primary specialty

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

Legal business name

BRANCH MEDICAL CLINIC GUAM

Practice address

Building 6 Chapel Road
Santa Rita, GU 96538

Phone

(671) 339-7118

NPI assigned

Jun 21, 2007

Last updated

Apr 9, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NAVAL HOSPITAL GUAMAs reported in NPPES

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

Addresses

Tax ID family

NH Guam6 organizations share this tax ID, including this one

Part of

NH Guam

Other organizations with this tax ID 5

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

• NH Guam

  dba Dod Naval Hospital Guam Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Agana Heights, GU
  • NPI 1194137711
  NPD tax ID
• NH Guam

  • Military/U.S. Coast Guard Pharmacy
  • Agana Heights, GU
  • NPI 1558214809
  NPD tax ID
• NH Guam

  • Military General Acute Care Hospital
  • Agana Heights, GU
  • NPI 1639127509
  NPD tax ID
• NH Guam

  • Military/U.S. Coast Guard Pharmacy
  • Santa Rita, GU
  • NPI 1679672620
  NPD tax ID
• BHC Camp Blaz-Guam

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • NPI 1235081944
  NPD tax ID

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1770789331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 455 BOX 208",
            "city": "FPO",
            "state": "AP",
            "postal_code": "965400003",
            "telephone_number": "671-344-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 6 CHAPEL ROAD",
            "city": "SANTA RITA",
            "state": "GU",
            "postal_code": "96538",
            "telephone_number": "671-339-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC GUAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL GUAM",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-04-09",
        "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": []
}

• Emily Pye Lomax Aleckson, LCSW
• Accursia Angelene Baldassano, DNP, FNP-BC
• Tyler Baldino
• Justin Naputi Borja, IDHS
• Craig Steven Bosley
• Dennis W Davis, IDC
• Tara Dominguez
• Michelle Anne Lowery
• Diana Lugo, LMT
• Luxottica of America Inc (Pearle Vision A894)

• Military/U.S. Coast Guard Outpatient Clinic/Center in Santa Rita, GU
• Providers in Santa Rita, GU by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.