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Contact Information

BRANCH MEDICAL CLINIC CHINA LAKE
1 ADMINISTRATION CIR
RIDGECREST, CA93555-6104
 Phone: 760-830-2498
 Fax: 760-830-2182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for BRANCH MEDICAL CLINIC CHINA LAKE

NPI # 1023212677
LBN Legal business name BRANCH MEDICAL CLINIC CHINA LAKE
Authorized official WILLIAM CONDON - (BUMED UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/14/2007
Last updated 10/16/2017 - About 9 years ago
Identifiers
CA Other 5662 BLUE CROSS BLUE SHIELD
CA Other NOT REQUIRED MAILHANDLERS BENEFIT PLAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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