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Branch Medical Clinic China Lake
Military/U.S. Coast Guard Outpatient Clinic/Center in Ridgecrest, California
NPI 1023212677

Branch Medical Clinic China Lake is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Ridgecrest, CA and is specialized in Military/U.S. Coast Guard Outpatient. Branch Medical Clinic China Lake practices in Ridgecrest, CA. The NPI Number for Branch Medical Clinic China Lake is 1023212677 and holds a License No. (California).

The current practice location address for Branch Medical Clinic China Lake is 1 Administration Cir, Ridgecrest, CA and can be reached out via phone at 760-830-2498 and via fax at 760-830-2182.

Location: 1 Administration Cir, Ridgecrest, CA, 93555-6104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023212677
Provider Name
Branch Medical Clinic China Lake
Credential
Provider Entity Type
Organization
Address
1 Administration Cir, Ridgecrest, CA, 93555-6104
Phone Number
760-830-2498
Fax Number
760-830-2182
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NOT REQUIRED 01 CA MAILHANDLERS BENEFIT PLAN
5662 01 CA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1 Administration Cir
City
Ridgecrest
State
California
Zip
93555-6104
Phone Number
760-830-2498
Fax Number
760-830-2182
person
Provider Business Mailing Address Details
Address
1 Administration Cir
City
Ridgecrest
State
California
Zip
93555-6104
Phone Number
760-830-2498
Fax Number
760-830-2182
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
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Definition
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.
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