Organization · Type 2 NPI
United States Navy
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Charleston, WA
Practice location
3600 Rivers Ave
Charleston, WA 29405
Mailing address
48 Hickory Hall Ln
Goose Creek, SC 29445-6318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center Primary | 261QM1103X | None listed |
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center: "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
37 other providers at this address
- Fetter Health Care Network Inc.Federally Qualified Health Center (FQHC) North Charleston, SC NPI 1336528504
- Amy J. Olson, PharmDPharmacist North Charleston, SC NPI 1114906799
- Betty Kelley McConnell, LCSWMental Health Counselor North Charleston, SC NPI 1861472144
- Brandon Hardin, PharmDPharmacist North Charleston, SC NPI 1689653099
- Bruce Grove Sparks, PHARMACISTPharmacist North Charleston, SC NPI 1720067242
- Christopher PetersonIndependent Duty Corpsman North Charleston, SC NPI 1922068147
- Conny Hrabowy Shoultz, RPHPharmacist North Charleston, SC NPI 1679763643
- Cynthia S. Sikorski, MDInternal Medicine Physician North Charleston, SC NPI 1366422313
- David Andrew Tait, R.N.Administrator Registered Nurse North Charleston, SC NPI 1689654253
- Evan K. Johnston, CRNACertified Registered Nurse Anesthetist Charleston, SC NPI 1669456307
- Frank David Ruse, LISW (CP) LADCClinical Social Worker North Charleston, SC NPI 1134247232
- James R. Bloom, MDPhysical Medicine & Rehabilitation Physician Charleston, SC NPI 1720068398
About NPI 1386886489
United States Navy's National Provider Identifier is 1386886489, issued on Apr 3, 2009. The primary taxonomy on file is Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center (261QM1103X), and the practice location is in Charleston, WA. The record was last updated on Jul 21, 2022.