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Contact Information

TRICARE MEDICAL CLINIC SUFFOLK
1317 BALLAHACK RD
CHESAPEAKE, VA23322-2499
 Phone: 703-681-9522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for TRICARE MEDICAL CLINIC SUFFOLK

NPI # 1821501719
LBN Legal business name TRICARE MEDICAL CLINIC SUFFOLK
Authorized official WILLIAM CONDON - (BUMED UBO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/14/2017
Last updated 11/14/2017 - About 9 years ago
Identifiers n/a
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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