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Tricare Medical Clinic Suffolk
Military/U.S. Coast Guard Outpatient Clinic/Center in Chesapeake, Virginia
NPI 1821501719

Tricare Medical Clinic Suffolk is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Portsmouth, VA and is specialized in Military/U.S. Coast Guard Outpatient. Tricare Medical Clinic Suffolk practices in Chesapeake, VA. The NPI Number for Tricare Medical Clinic Suffolk is 1821501719 and holds a License No. (Virginia).

The current practice location address for Tricare Medical Clinic Suffolk is 1317 Ballahack Rd, Chesapeake, VA and can be reached out via phone at 703-681-9522.

Location: 1317 Ballahack Rd, Chesapeake, VA, 23708-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821501719
Provider Name
Tricare Medical Clinic Suffolk
Credential
Provider Entity Type
Organization
Address
1317 Ballahack Rd, Chesapeake, VA, 23708-2111
Phone Number
703-681-9522
Fax Number
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1317 Ballahack Rd
City
Chesapeake
State
Virginia
Zip
23322-2499
Phone Number
703-681-9522
Fax Number
person
Provider Business Mailing Address Details
Address
1317 Ballahack Rd
City
Chesapeake
State
Virginia
Zip
23322-2499
Phone Number
703-681-9522
Fax Number
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.
()
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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