Organization · Type 2 NPI
Tricare Medical Clinic Suffolk
Military/U.S. Coast Guard Outpatient Clinic/Center · Chesapeake, VA
Practice location
1317 Ballahack Rd
Chesapeake, VA 23322-2499
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | None 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…
4 other providers at this address
- Amy C. Mero, RNGeneral Practice Registered Nurse Chesapeake, VA NPI 1699749028
- Brendan William McCarthyIndependent Duty Corpsman Chesapeake, VA NPI 1730339029
- Diane H. Sturgill, PA-CMedical Physician Assistant Chesapeake, VA NPI 1073822334
- Emmett Blount Iii, IDHSIndependent Duty Medical Technicians Chesapeake, VA NPI 1164408464
About NPI 1821501719
Tricare Medical Clinic Suffolk's National Provider Identifier is 1821501719, issued on Nov 14, 2017. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Chesapeake, VA. The record was last updated on Nov 14, 2017.