Walson Medical Support Element, NPI 1154474419
Military Outpatient Operational (Transportable) Component Clinic/Center in Ft. Dix, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154474419
NPI Entity Type Organization
Provider Name Walson Medical Support Element
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5631 Baltimore Ave, Ft. Dix, NJ, US
Provider Mailing Address 1562 Marine Pkwy, Brooklyn, NY, US, 112343414
Is Sole Proprietor? No
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Organization Official

Official Name MD Albert Martins
Official Position DCCS
Phone 609-562-5419

Primary Taxonomy

Taxonomy Code

261QM1102X

Taxonomy Name Military Outpatient Operational (Transportable) Component Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. F333963-1
License State NM
Description "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Business Address

Walson Medical Support Element
5631 Baltimore Ave

Ft. Dix, NJ, US

Phone: 609-562-5419

Mailing Address

Walson Medical Support Element
1562 Marine Pkwy
Brooklyn, NY, US
ZIP 112343414
Phone: 347-733-9938

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