Tricare Outpatient Clinic Chula Vista, NPI 1467644625
Military/U.S. Coast Guard Outpatient Clinic/Center in Chula Vista, CA, 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 1467644625
NPI Entity Type Organization
Provider Name Tricare Outpatient Clinic Chula Vista
Subpart of Organization Naval Medical Center San Diego
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 644 Naples St, Chula Vista, CA, US
Provider Mailing Address 34520 Bob Wilson Dr, San Diego, CA, US, 921342098
Is Sole Proprietor? No
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Organization Official

Official Name MR. William Michael Condon
Official Position NAVY MEDICINE UBO PROGRAM MANAGER
Phone 240-401-3643

Primary Taxonomy

Taxonomy Code

261QM1100X

Taxonomy Name Military/U.S. Coast Guard Outpatient Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description 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.

Business Address

Tricare Outpatient Clinic Chula Vista
644 Naples St

Chula Vista, CA, US

Phone: 619-744-5354
Fax: 619-744-5391

Mailing Address

Tricare Outpatient Clinic Chula Vista
34520 Bob Wilson Dr
San Diego, CA, US
ZIP 921342098
Phone: 619-532-6636
Fax: 619-532-6645

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MFT Yasmin Vishram-morris

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