Taxonomy Code 261QM1102X(261qm1102x)
Military Outpatient Operational (Transportable) Component Clinic/Center. Providers: 1
Select City
S
Military Outpatient Operational (Transportable) Component Clinic/Center Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
PA-C Jared Lincoln Hansen |
Individual |
34101 Farenholt Ave San Diego, CA |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 261QM1102X |
| Specialization | Military Outpatient Operational (Transportable) Component |
| Display Name | Military Outpatient Operational (Transportable) Component Clinic/Center |
| Taxonomy Group | Ambulatory Health Care Facilities |
| Taxonomy Classification | Clinic/Center |
| Definition | "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. |
| Effective Date | September 30, 2009 |
| Modification Date | September 30, 2009 |