BRANCH MEDICAL CLINIC DIEGO GARCIA (NPI# 1578756284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578756284 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC DIEGO GARCIA |
| Practice Address |
Psc 466 Box 3 Fpo AP 96595 |
| Practice Telephone | 01181468168574 |
| Mailing Telephone | 01181468168574 |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL YOKOSUKA |
| 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 |
| Street Address |
PSC 466 BOX 3 |
| City | FPO |
| State | AP |
| Zip Code | 96595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811973498 | Paul Ephron | Family Medicine | Psc 466 Box 3, Fpo, AP 96595 | 2005-12-16 |
| 1740719814 | Jerricson Barlis Peralta | Military Health Care Provider | Psc 466 Box 3, Fpo, AP 96595-0001 | 2017-06-12 |
| 1194120006 | Analy Ponce | Military Health Care Provider | Psc 466 Box 3, Fpo, AP 96595-0001 | 2014-11-04 |
| 1063717353 | Elisabeth I Baser | Military Health Care Provider | Psc 466 Box 3, Fpo, AP 96595-0003 | 2011-01-18 |
| 1356529945 | Jeromy Miles Ortega | Military Health Care Provider | Psc 466 Box 3, Bhc Diego Garcia, Fpo, AP 96595 | 2008-02-05 |
| 1487834024 | Steven Gurat Cassler | Military Health Care Provider | Psc 466 Box 3, Fpo, AP 96595 | 2007-11-12 |
| 1265611032 | Alan R Krilevich | Military Health Care Provider | Psc 466 Box 3, Bhc Diego Garcia, Fpo, AP 96595 | 2007-10-30 |
| 1205015336 | Heather Marion Sheedy | Military Health Care Provider | Psc 466 Box 3, Fpo, AP 96595 | 2007-10-25 |
| 1578752697 | Sherri Lee Bustamante | Military Health Care Provider | Psc 466 Box 3, Bhc Diego Garcia, Fpo, AP 96595 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856764 | Matthew Earl Newton | Optometrist | Psc 466, Fpo, AP 96595 | 2006-01-17 |
| 1619368701 | Courtney Farrell Aksdal Falco | Social Worker | Psc 466, Box 18, Fpo, AP 96595 | 2015-02-10 |
| 1841580669 | Randall Uylesses Mclain | Military Health Care Provider | Psc 466, Box 3, Fpo, AP 96595 | 2011-04-13 |
| 1255681102 | Jose Gregorio Solano | Military Health Care Provider | Branch Health Clinic Diego Garcia, Psc 466 Box 3, Fpo, AP 96595-0003 | 2012-09-18 |
| 1073573028 | Dawn M Foster | Military Health Care Provider | Bhc Diego Garcia, Pdc 466 Box 3, Fpo, AP 96595-0003 | 2006-03-24 |
| 1376988998 | Maria Elena Curry | Military Health Care Provider | Branch Health Clinic Diego Garcia, Psc 466 Box 3, Fpo, AP 96595-0003 | 2013-05-09 |
| 1982949954 | Christopher Estrada | Military Health Care Provider | Psc 466, Box 3, Fpo, AP 96595-0003 | 2012-12-03 |
| 1306943162 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Psc 466, Bldg 151, Fpo, AP 96595-0003 | 2006-09-20 |
| 1649644097 | Steven Ramon Escalante | Military Health Care Provider | Psc 466 Box 326, Fpo, AP 96595-0004 | 2015-11-23 |
| 1245405687 | Michael Anthony Espinoza | Military Health Care Provider | Psc 466, Box 3, Fpo, AP 96595-0466 | 2008-04-28 |
| Find all providers in zip 96595 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811182959 | Branch Medical Clinic Bahrain | Clinic/Center | Psc 851, Box 340, Fpo, AE 09834-0004 | 2007-09-12 |
| 1841483559 | Branch Medical Clinic Chinhae | Clinic/Center | Psc 479, Fpo, AP 96269 | 2007-08-26 |
| 1023201886 | Branch Medical Clinic Sasebo | Clinic/Center | Psc 475 Box 1 Code 081c, Fpo, AP 96351 | 2007-08-23 |
| 1447429667 | Branch Medical Clinic Camp Fuji | Clinic/Center | Psc 475 Box 1 Code 081c, Fpo, AP 96351 | 2008-02-21 |
| 1194911511 | Branch Medical Clinic Capodichino | Clinic/Center | Psc 808 Box 19, Fpo, AE 09618-0001 | 2007-09-19 |
| 1902091044 | Branch Health Clinic Souda Bay | Clinic/Center | Psc 814, Box 19, Fpo, AE 09865 | 2007-09-12 |
| 1376734624 | Branch Medical Clinic Sasebo Comfleact | Clinic/Center | Psc 476 Box 25, Fpo, AP 96322 | 2007-08-01 |
| 1639360985 | Branch Medical Clinic Atsugi | Clinic/Center | Psc 477 Box 2, Fpo, AP 96303 | 2007-08-01 |
| 1528268844 | Branch Medical Clinic Camp Bush | Clinic/Center | Psc 482, Uniform Business Office, Fpo, AP 96362 | 2007-07-24 |
| 1982804209 | Branch Medical Clinic Camp Hansen | Clinic/Center | Psc 482, Uniform Business Office, Fpo, AP 96362 | 2007-07-24 |
| Find all providers in FPO | ||||
Please comment or provide details below to improve the information on BRANCH MEDICAL CLINIC DIEGO GARCIA.
| 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.