Branch Medical Clinic Ocs Brown Field
Organization Active NPI Military/U.S. Coast Guard Outpatient Clinic/Center · Quantico, VA
NPI 1821281908 · NPPES record last updated Oct 23, 2017
Key facts
- NPI
- 1821281908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
- Legal business name
- BRANCH MEDICAL CLINIC OCS BROWN FIELD
- Practice address
- 2189 Elrod Ave
Building 5003
Quantico, VA 22134-5113 - Phone
- (703) 784-2062
- NPI assigned
- Aug 22, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NAVAL HEALTH CLINIC QUANTICO
Authorized official
- Name
- William M Condon
- Title
- Bumed Ubo
- Phone
- (240) 401-3643
Corporate family (same tax ID) 5
Practitioners 2
-
Jessy Jean McLean, DPT
National Provider Directory
- Tax ID family
- Branch Medical Clinic the Basic School
- Part of
- Branch Medical Clinic the Basic School
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Yes |
Addresses
Primary practice location
2189 Elrod Ave
Building 5003
Quantico, VA 22134-5113
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Phone (703) 784-1770
Other providers in Quantico, VA
- Ras Benzo
- Angela Scalise Bourke
- Aoife Bourke
- Gerald Boyle
- Ella Frances Bradshaw
- Branch Medical Clinic the Basic School
- Elise Cooper Brandon
- Izaskun Yvonne Brown
- Lorna Millar Brunhofer
- Melissa Tait Brush
All providers in Quantico, VA · Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.