BRANCH MEDICAL CLINIC MAYPORT


Address: 2130 Mayport Rd, Jacksonville, FL 32233-2753
Phone: 9042704446

BRANCH MEDICAL CLINIC MAYPORT (NPI# 1326553280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326553280
Entity Type Organization
Organization Name BRANCH MEDICAL CLINIC MAYPORT
Practice Address 2130 Mayport Rd
Jacksonville
FL 32233-2753
Mailing Address 2080 Child St
Jacksonville
FL 32214-5005
Practice Telephone 9042704446
Enumeration Date 2017-12-13
Last Update Date 2017-12-13
Authorized Official Name WILLIAM M CONDON (BUMED UBO)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL HOSPITAL JACKSONVILLE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
Ambulatory Health Care Facilities

Office Location

Street Address 2130 MAYPORT RD
City JACKSONVILLE
State FL
Zip Code 32233-2753

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Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104331065 Branch Medical Clinic Jacksonville Clinic/Center 964 Ajax St, Jacksonville, FL 32214-0001 2017-12-13

Providers in the same taxonomy and state

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1760928923 Uscg Clinic Air Station Miami Clinic/Center 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 2017-01-12
1710206727 Uscg Key West Clinic Clinic/Center 100 Trumbo Rd, Key West, FL 33040-6655 2010-06-01
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Competitor

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City JACKSONVILLE
Zip Code 32233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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