Organization · Type 2 NPI
Walson Medical Support Element
Military Outpatient Operational (Transportable) Component Clinic/Center · Fort Dix, NJ
Practice location
5631 Baltimore Ave
Fort Dix, NJ 08640-0000
Mailing address
1562 Marine Pkwy
Brooklyn, NY 11234-3414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Outpatient Operational (Transportable) Component Clinic/Center Primary | 261QM1102X | F333963-1 (NM) |
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 1154474419
Walson Medical Support Element's National Provider Identifier is 1154474419, issued on Jan 19, 2007. The primary taxonomy on file is Military Outpatient Operational (Transportable) Component Clinic/Center (261QM1102X), and the practice location is in Fort Dix, NJ. The record was last updated on Aug 22, 2020.