Organization · Type 2 NPI

Branch Medical Clinic Jacksonville

Military/U.S. Coast Guard Outpatient Clinic/Center · Jacksonville, FL

NPI number 1104331065 Active

Practice location

964 Ajax St
Jacksonville, FL 32214-0001

Mailing address

2080 Child St
Jacksonville, FL 32214-5005

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…

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About NPI 1104331065

Branch Medical Clinic Jacksonville's National Provider Identifier is 1104331065, issued on Dec 13, 2017. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 13, 2017.