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

Walson Medical Support Element is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Brooklyn, NJ and is specialized in Military Outpatient Operational (Transportable) Component. Walson Medical Support Element practices in Ft. Dix, NJ. The NPI Number for Walson Medical Support Element is 1154474419 and holds a License No. F333963-1 (New Jersey).

The current practice location address for Walson Medical Support Element is 5631 Baltimore Ave, Ft. Dix, NJ and can be reached out via phone at 609-562-5419. You can also correspond with Walson Medical Support Element through the mailing address at 1562 MARINE PKWY, BROOKLYN, NY - 11234-3414 (mailing address contact number: 347-733-9938).

Location: 5631 Baltimore Ave, Ft. Dix, NJ, 11234-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154474419
Provider Name
Walson Medical Support Element
Credential
Provider Entity Type
Organization
Address
5631 Baltimore Ave, Ft. Dix, NJ, 11234-3414
Phone Number
609-562-5419
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5631 Baltimore Ave
City
Ft. Dix
State
New Jersey
Zip
08640-0000
Phone Number
609-562-5419
Fax Number
person
Provider Business Mailing Address Details
Address
1562 Marine Pkwy
City
Brooklyn
State
New York
Zip
11234-3414
Phone Number
347-733-9938
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
F333963-1 (New Mexico)
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.
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