Organization · Type 2 NPI

Tricare Medical Clinic Chesapeake

Military/U.S. Coast Guard Outpatient Clinic/Center · Portsmouth, VA

NPI number 1861538258 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-5297 Map

Mailing address

1011 Eden Way N, Ste H
Chesapeake, VA 23320-2768

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 1861538258

Tricare Medical Clinic Chesapeake's National Provider Identifier is 1861538258, issued on Jan 30, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Portsmouth, VA. The record was last updated on Nov 13, 2017.