National Provider Identifier Database

BRANCH MEDICAL CLINIC EL CENTRO
Military/U.S. Coast Guard Outpatient

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 examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.


Contact Information

BRANCH MEDICAL CLINIC EL CENTRO
NAVAL BRANCH HEALTH CLINIC
NAVAL AIR FACILITY BLDG 523
EL CENTRO, CA92243
Phone: 760-339-2674
Fax: 760-339-2661
Website:
Specialty Taxonomy Code
* Military/U.S. Coast Guard Outpatient 261QM1100X

* Indicates primary specialty

NPI Profile & details for BRANCH MEDICAL CLINIC EL CENTRO

NPI Number 1841482841
Legal business name
LBN
BRANCH MEDICAL CLINIC EL CENTRO
Authorized official WILLIAM CONDON - (NAVY MEDICINE UBO PROGRAM MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/14/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: HSP63228F
  • CA Medicaid: ZZT23228F
  • CA Other: 05022F MEDICARE
  • CA Other: 05-20862 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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