Organization · Type 2 NPI

Naval Branch Clinic

Military Outpatient Operational (Transportable) Component Clinic/Center · Wallops Island, VA

NPI number 1053517003 Active

Practice location

30 Battle Group Way
Wallops Island, VA 23337-2229

Mailing address

8901 Wisconsin Ave, Psc Box 509 Code 6300
Bethesda, MD 20889-0001

Specialties and licenses

TaxonomyCodeLicense
Military Outpatient Operational (Transportable) Component Clinic/Center Primary 261QM1102XNone listed

Military Outpatient Operational (Transportable) Component Clinic/Center: "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort…

About NPI 1053517003

Naval Branch Clinic's National Provider Identifier is 1053517003, issued on Jun 26, 2007. The primary taxonomy on file is Military Outpatient Operational (Transportable) Component Clinic/Center (261QM1102X), and the practice location is in Wallops Island, VA. The record was last updated on Jul 11, 2008.